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[假沉淀]

[Pseudoprecipitates].

作者信息

Slezak H, Stur M

出版信息

Klin Monbl Augenheilkd. 1986 Mar;188(3):185-7. doi: 10.1055/s-2008-1050610.

Abstract

As a rule acute primary glaucoma can be diagnosed easily; however, if it is accompanied by pseudoprecipitates (precipitate-like changes of the posterios surface of the cornea), it can simulate a secondary, inflammatory increase in pressure. Pseudoprecipitates are thought to be caused by pressure-induced lesions of the corneal endothelium. They differ from true precipitates by their shape and distribution and appear to be a facultative sign of acute primary glaucoma. In cases with pseudoprecipitates examination of the corneal endothelium with the specular microscope does not reveal any specific findings, only an edema of the corneal endothelium (so-called cornea pseudoguttata).

摘要

通常情况下,急性原发性青光眼很容易诊断;然而,如果伴有假性沉淀物(角膜后表面的沉淀物样改变),它可能会模拟继发性炎症性眼压升高。假性沉淀物被认为是由眼压引起的角膜内皮损伤所致。它们在形状和分布上与真正的沉淀物不同,似乎是急性原发性青光眼的一个偶发体征。在有假性沉淀物的病例中,用镜面显微镜检查角膜内皮没有发现任何特异性表现,只有角膜内皮水肿(所谓的角膜假滴状变性)。

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