Alajbegović R, Karcić S, al Hasan N, Alajbegović-Halimić J
Klinika za ocne bolesti, Klinicki centar Sarajevo.
Med Arh. 1994;48(1):17-8.
The authors present a problem secondary posttraumatic glaucoma caused by perforative eye injuries or contusions of the eyeball. Posttraumatic glaucoma after perforative injuries appears in high percentage 25-67%, with the postcontusion glaucoma is rare, and appears in 2-5% cases. It can appear near after injury but also after 10 years. This type of glaucoma has specific clinic finding, inversive type of tonometry, curve, retention type of curve and long interval without rise intraocular pressure. Prognosis of this glaucoma is very difficult and unsure. Most cases finish with blindness and enucleation because of the constant torpid inflammation, pains and danger of sympathetic ophthalmia. Prevention is in early microsurgery and reconstructive treatment of wound and correct conservative treatment of postcontusion glaucoma.
作者提出了由眼球穿孔伤或挫伤引起的继发性创伤后青光眼问题。穿孔伤后创伤性青光眼的发生率很高，为25% - 67%，而挫伤后青光眼则较为罕见，发生率为2% - 5%。它可在伤后不久出现，也可在10年后出现。这种类型的青光眼有特定的临床特征，眼压测量呈反向型曲线、滞留型曲线，且眼压长时间不升高。这种青光眼的预后非常困难且不确定。大多数病例因持续的慢性炎症、疼痛和交感性眼炎的危险而最终导致失明和眼球摘除。预防措施包括早期显微手术、伤口的重建治疗以及对挫伤后青光眼进行正确的保守治疗。
