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色素性青光眼的运动与反向瞳孔阻滞

Exercise and reversed pupillary block in pigmentary glaucoma.

作者信息

Jensen P K, Nissen O, Kessing S V

机构信息

Eye Department, National University Hospital, Copenhagen, Denmark.

出版信息

Am J Ophthalmol. 1995 Jul;120(1):110-2. doi: 10.1016/s0002-9394(14)73767-5.

Abstract

PURPOSE/METHODS: The effect of exercise on the iris contour was investigated with ultrasound biomicroscopy in two patients with pigmentary glaucoma.

RESULTS/CONCLUSION: Ten minutes of bicycle exercise strikingly increased the iris concavity. After Nd:YAG laser iridotomy the iris remained plane after a repeated exercise test. We believe that exercise increased the ocular pulse, which augmented cyclic aqueous movements through the pupil. Combined with a reverse pupillary block, the resulting intermittent excessive iris concavity caused pigment dispersion.

摘要

目的/方法:采用超声生物显微镜检查,对两名色素性青光眼患者进行运动对虹膜形态影响的研究。

结果/结论:十分钟的自行车运动显著增加了虹膜凹陷度。Nd:YAG激光虹膜切开术后,再次进行运动试验时虹膜保持平坦。我们认为运动增加了眼内压,从而增强了房水通过瞳孔的循环运动。再加上反向瞳孔阻滞,由此产生的间歇性过度虹膜凹陷导致色素播散。

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