Mastropasqua L, Ciancaglini M, Carpineto P, Lobefalo L, Gallenga P E
Institute of Ophthalmology, University of Chieti, Italy.
J Cataract Refract Surg. 1994 Sep;20(5):563-5. doi: 10.1016/s0886-3350(13)80238-6.
A 50-year-old, white, pseudophakic man who had a neodymium:YAG (Nd:YAG) posterior capsulotomy for capsule opacification developed a persistent rise in intraocular pressure (IOP) associated with a flat anterior chamber. Full-thickness patent iridotomy performed with an Nd:YAG laser did not reduce IOP. A-scan ultrasonography showed aqueous pockets in the vitreous, leading to a diagnosis of malignant glaucoma. Medical therapy comprising atropine, phenylephrine, mannitol, and acetazolamide normalized IOP and resolved the clinical findings.
一名50岁的白人男性,植入人工晶状体,因晶状体后囊混浊接受了钕:钇铝石榴石(Nd:YAG)后囊切开术,术后出现眼压(IOP)持续升高并伴有前房变浅。使用Nd:YAG激光进行的全层虹膜切开术未能降低眼压。A超检查显示玻璃体中有房水腔,诊断为恶性青光眼。使用阿托品、去氧肾上腺素、甘露醇和乙酰唑胺进行药物治疗后眼压恢复正常,临床症状也得到缓解。