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青光眼斑：急性原发性闭角型青光眼发作后的典型且不常见的眼部体征。

Glaukomflecken: The classic and uncommon ocular sign after acute primary angle closure attack.

作者信息

Lam Wai Yan, Au Sunny Chi Lik

机构信息

Department Ophthalmology, Grantham Hospital, Hong Kong.

Department Ophthalmology, Tung Wah Eastern Hospital, Hong Kong.

出版信息

Vis J Emerg Med. 2023 Apr;31:101702. doi: 10.1016/j.visj.2023.101702. Epub 2023 May 13.

DOI:10.1016/j.visj.2023.101702
PMID:37206366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10182742/
Abstract

The widespread of upper respiratory tract symptoms caused by COVID-19 infections has increased the prescription and usage of antitussive and nasal decongestants. We presented a case of ocular acute primary angle closure attack with increased intraocular pressure after COVID-19 therapy. Glaukomflecken, the classic and uncommon ocular sign after acute primary angle closure attack, was demonstrated in this visual case discussion.

摘要

由新冠病毒感染引起的上呼吸道症状广泛传播，增加了止咳药和鼻减充血剂的处方量和使用量。我们报告了一例新冠病毒治疗后出现眼压升高的眼部急性原发性闭角型青光眼发作病例。在本次视觉病例讨论中展示了急性原发性闭角型青光眼发作后典型且罕见的眼部体征——青光眼斑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/80293f83811d/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/97059a9e9efc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/c1127645d5c7/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/108250d729fb/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/4d0b59debe9a/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/80293f83811d/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/97059a9e9efc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/c1127645d5c7/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/108250d729fb/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/4d0b59debe9a/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba0b/10182742/80293f83811d/gr5_lrg.jpg

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Vis J Emerg Med. 2023 Apr;31:101702. doi: 10.1016/j.visj.2023.101702. Epub 2023 May 13.
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本文引用的文献

1
Cluster of ocular acute primary angle closure cases and increased antitussive or nasal decongestants usage following the surge in acute COVID-19 infection.急性新冠肺炎感染激增后出现的眼部急性原发性闭角病例群以及止咳药或鼻减充血剂使用量增加。
QJM. 2023 Jul 28;116(7):601-602. doi: 10.1093/qjmed/hcad023.
2
Ocular events following the surge of cough and cold medications use during the Omicron outbreak in Hong Kong.香港奥密克戎疫情期间咳嗽和感冒药使用激增后的眼部事件
QJM. 2023 Mar 27;116(3):259-260. doi: 10.1093/qjmed/hcac096.
3
[Glaukomflecken: Classical but rare sign of acute angle closure glaucoma].
J Fr Ophtalmol. 2021 Jan;44(1):117-118. doi: 10.1016/j.jfo.2020.02.020. Epub 2020 Oct 22.
4
Contemporary approach to the diagnosis and management of primary angle-closure disease.原发性闭角型青光眼的当代诊断与治疗方法。
Surv Ophthalmol. 2018 Nov-Dec;63(6):754-768. doi: 10.1016/j.survophthal.2018.05.001. Epub 2018 May 17.
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Estimation of width of angle of anterior chamber. Incidence and significance of the narrow angle.前房角宽度的估计。窄角的发生率及意义。
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