Ritch R
Am J Ophthalmol. 1982 Aug;94(2):190-6. doi: 10.1016/0002-9394(82)90074-5.
Four patients with nonprogressive glaucomatous cupping and nonprogressive visual field damage, three of whom were referred with a diagnosis of low-tension glaucoma, were found to have slit-like radial peripheral iris transillumination defects. Three of these patients had Krukenberg spindles and dense pigmentation of the trabecular meshwork. These findings are considered pathognomonic for pigmentary glaucoma. Little is known of the natural course of this disease. A decrease in corneal and trabecular pigmentation with age and normalization of intraocular pressures after years of treatment have been noted. The patients described here were all much older than the average patient with pigmentary glaucoma, yet in none of them had a diagnosis of glaucoma been made at the time the damage presumably developed. In these patients the pigmentary glaucoma had probably remitted spontaneously.
4例患有非进行性青光眼性视盘凹陷和非进行性视野损害的患者,其中3例被诊断为低眼压性青光眼并前来就诊,发现有裂隙状放射状周边虹膜透照缺损。这些患者中有3例有 Krukenberg 梭和小梁网密集色素沉着。这些发现被认为是色素性青光眼的特征性表现。关于这种疾病的自然病程知之甚少。有人注意到随着年龄增长角膜和小梁色素沉着减少,以及经过多年治疗后眼压恢复正常。这里描述的患者比色素性青光眼的平均患者年龄大得多,但在他们中没有一例在推测损伤发生时被诊断为青光眼。在这些患者中,色素性青光眼可能已经自发缓解。