Ellis P P
Ann Ophthalmol. 1984 Feb;16(2):177-9.
Malignant (ciliary block) glaucoma occurred in a patient 16 years after successful filtering surgery for glaucoma. Initially a moderate rise in intraocular pressure (IOP) occurred despite a functional filtering bleb. Pilocarpine treatment was started and exaggerated the attack of malignant glaucoma. The possibility that malignant glaucoma had occurred 16 years after successful filtering surgery was not appreciated until the anterior chamber deepened and a fall in IOP occurred with instillation of cycloplegic drops into the eye.
一名患者在青光眼滤过手术成功16年后发生了恶性(睫状环阻滞性)青光眼。尽管滤过泡功能良好,但眼压(IOP)最初出现了中度升高。开始使用毛果芸香碱治疗后,恶性青光眼的发作加剧。直到前房加深且向眼内滴入睫状肌麻痹剂后眼压下降,才意识到在成功的滤过手术后16年发生了恶性青光眼。