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激光虹膜切除术治疗急性人工晶状体瞳孔阻滞性青光眼

Laser iridectomy treatment of acute pseudophakic pupillary block glaucoma.

作者信息

Kokoris N, Macy J I

出版信息

J Am Intraocul Implant Soc. 1982 Winter;8(1):33-4. doi: 10.1016/s0146-2776(82)80007-4.

DOI:10.1016/s0146-2776(82)80007-4
PMID:7185801
Abstract

A 71-year-old patient developed acute pupillary block glaucoma two years after uncomplicated extracapsular cataract surgery with primary implantation of a Choyce-style anterior chamber lens. He presented one week after the onset of pain. The attack was relieved with argon laser iridectomy. The presumed mechanism was rotation of the intraocular lens due to blunt trauma, occluding the previously patient single surgical iridectomy site. We felt that in this case, laser iridectomy was a good, safe alternative to surgical iridectomy.

摘要

一名71岁患者在进行无并发症的囊外白内障手术并初次植入乔伊斯式前房人工晶状体两年后,发生了急性瞳孔阻滞性青光眼。他在疼痛发作一周后就诊。氩激光虹膜切除术缓解了此次发作。推测的机制是钝性创伤导致人工晶状体旋转,阻塞了患者之前唯一的手术虹膜切除术部位。我们认为在这种情况下,激光虹膜切除术是手术虹膜切除术的一种良好、安全的替代方法。

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引用本文的文献

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Pupillary block following posterior chamber intraocular lens implantation in adults.成人后房型人工晶状体植入术后的瞳孔阻滞
Br J Ophthalmol. 2003 Sep;87(9):1109-11. doi: 10.1136/bjo.87.9.1109.
2
Pseudophakic glaucoma.人工晶状体性青光眼
Int Ophthalmol. 1985 Sep;8(3):183-6. doi: 10.1007/BF00136496.