Prata J A, Minckler D S, Green R L
Doheny Eye Institute, Department of Ophthalmology, University of Southern California School of Medicine, Los Angeles 90033.
Ophthalmic Surg. 1993 Sep;24(9):608-11.
Two cases of pseudo-Brown's syndrome occurring after superior nasal implantation of glaucoma filtering devices are described. We hypothesize that this restriction in ocular motility was due to the mechanical effects of large filtering blebs or increased inflammation and scar formation in the superior nasal quadrant. Serial ultrasound examinations of our patients demonstrated development of a large bleb, coincidental with the disturbance in motility. Because of the risk of strabismus, we no longer recommend placing large implant devices in the superior nasal quadrant in eyes that have good vision.
本文描述了两例青光眼滤过装置鼻上象限植入术后发生的假性布朗综合征。我们推测，眼球运动受限是由于大的滤过泡产生的机械效应，或鼻上象限炎症及瘢痕形成增加所致。对我们的患者进行的系列超声检查显示，出现大的滤过泡与运动障碍同时发生。鉴于存在斜视风险，我们不再建议在视力良好的眼中将大型植入装置置于鼻上象限。
