Radda T M, Bardach H, Riss B
Ophthalmologica. 1981;182(3):148-52. doi: 10.1159/000309105.
Acute ocular hypotony is a serious, but rare complication of temporal arteritis. It occurs equally often in men and women, and appears mostly in patients older than 70 years. This complication may occur in one or in both eyes. In the literature 7 cases of temporal arteritis accompanied by ocular hypotony have been reported. Hypotony probably results from a restricted production of aqueous humor caused by involvement of the arteries supplying the ciliary body. A high-dose corticoid therapy may normalize completely the intraocular pressure, and a timely treatment may preserve a satisfactory vision, since an insufficient perfusion of the optic disc does not necessarily occur. Scalp necrosis and diplopia may appear at the same time, and are a sign of multiple involvement of the arterial vessels.
急性低眼压是颞动脉炎一种严重但罕见的并发症。男性和女性发病率相同，多见于70岁以上患者。此并发症可单眼或双眼发生。文献报道了7例伴有低眼压的颞动脉炎。低眼压可能是由于供应睫状体的动脉受累导致房水生成受限所致。大剂量皮质类固醇治疗可使眼压完全恢复正常，及时治疗可保留满意的视力，因为不一定会发生视盘灌注不足。头皮坏死和复视可能同时出现，是动脉血管多处受累的征象。
