Bourgeois J, Shields M B, Thresher R
Ophthalmology. 1984 Apr;91(4):420-3. doi: 10.1016/s0161-6420(84)34284-1.
Clinical and histopathologic features of a 62-year-old black man with posterior polymorphous dystrophy and open-angle glaucoma requiring trabeculectomy are reported. The surgical procedure was modified to allow en bloc resection of the deep limbal tissue and peripheral iris. Light and electron microscopy of the specimen revealed a high insertion of the iris into the posterior portion of the trabecular meshwork with compression of the intertrabecular spaces. These findings are similar to changes that have been reported in primary congenital glaucoma and suggest a developmental anomaly of the anterior chamber angle in this form of glaucoma associated with posterior polymorphous dystrophy.
报告了一名62岁患有后极性多形性营养不良和开角型青光眼且需要进行小梁切除术的黑人男性的临床和组织病理学特征。手术过程进行了改良，以便整块切除深层角膜缘组织和周边虹膜。标本的光镜和电镜检查显示虹膜高度插入小梁网后部，小梁间隙受压。这些发现与原发性先天性青光眼所报告的变化相似，提示这种与后极性多形性营养不良相关的青光眼形式存在前房角发育异常。
