Ignat F, Simionescu C
Clinica de Oftalmologie, Facultatea de Medicină, Craiova.
Oftalmologia. 1993 Oct-Dec;37(4):315-20.
The paper presents the case of a 62-year-old male patient, which has been hospitalized with the symptomatology of a acute glaucoma through intumescent lens. After the lens extraction, the globe evolution was to atrophy with chronic irrigation, starting a hypertensive cyclitis at the other eye, assumed to be a sympathetic ophthalmia. After several acute evolutive episodes at both eyes, the enucleation of the primal eye was made and a ciliary body tumour (neurinoma) was discovered. After enucleation under general and local cortisone treatment, the inflammatory phenomena at the sympathetic eye were entering in remission; but the hypertony, which was considered to be an open-angle pre-existent glaucoma, was persistent. The paper also discusses the sympathetic ophthalmia producing mechanism the characteristics of the ciliary body tumour and the diagnosis problems raised by this case.
本文介绍了一名62岁男性患者的病例，该患者因膨胀期晶状体导致急性青光眼症状而住院。晶状体摘除术后，眼球逐渐萎缩并伴有慢性炎症，另一只眼开始出现高血压性睫状体炎，被认为是交感性眼炎。双眼经历几次急性进展期后，摘除了原发病眼，发现了睫状体肿瘤（神经瘤）。在全身和局部使用可的松治疗下行眼球摘除术后，交感性眼的炎症现象开始缓解；但被认为是原发性开角型青光眼的高眼压仍然存在。本文还讨论了交感性眼炎的发病机制、睫状体肿瘤的特点以及该病例所引发的诊断问题。
