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虹膜红变与前房内皮化的关联:1例临床病例报告及另外16例病例的组织病理学回顾

The association of rubeosis iridis with endothelialisation of the anterior chamber: report of a clinical case with histopathological review of 16 additional cases.

作者信息

Gartner S, Taffet S, Friedman A H

出版信息

Br J Ophthalmol. 1977 Apr;61(4):267-71. doi: 10.1136/bjo.61.4.267.

DOI:10.1136/bjo.61.4.267
PMID:870016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1042938/
Abstract

A patient is reported in whom the clinical observation of extension of the corneal endothelium and Descemet's membrane in association with rubeosis iridis was confirmed by histopathological examination. In a study of eyes which had been removed and demonstrated rubeosis iridis and secondary glaucoma in 16 additional eyes revealed extension of the corneal endothelium and Descemet's membrane on to the anterior iris surface. In all instances the transition occurred at the pseudoangle formed by the attachment of peripheral anterior synechiae. The suggestion is made that the fibrovascular membrane of rubeosis iridis is the stimulus which excites the extension of the endothelium on to the iris surface. The association between rubeosis iridis and extension of the corneal endothelium and Descemet's membrane on to the iris has not been previously appreciated.

摘要

据报道,有一名患者,其角膜内皮和Descemet膜延伸并伴有虹膜红变的临床观察结果经组织病理学检查得以证实。在一项针对摘除眼球的研究中,另外16只眼显示有虹膜红变和继发性青光眼,这些眼均发现角膜内皮和Descemet膜延伸至虹膜前表面。在所有病例中,这种转变均发生在周边前粘连附着处形成的假角处。有人提出,虹膜红变的纤维血管膜是促使内皮向虹膜表面延伸的刺激因素。虹膜红变与角膜内皮及Descemet膜向虹膜延伸之间的关联此前尚未被认识到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f259/1042938/f127a10d0e25/brjopthal00232-0028-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f259/1042938/c9fec11b55e1/brjopthal00232-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f259/1042938/f127a10d0e25/brjopthal00232-0028-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f259/1042938/c9fec11b55e1/brjopthal00232-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f259/1042938/f127a10d0e25/brjopthal00232-0028-a.jpg

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The association of rubeosis iridis with endothelialisation of the anterior chamber: report of a clinical case with histopathological review of 16 additional cases.虹膜红变与前房内皮化的关联:1例临床病例报告及另外16例病例的组织病理学回顾
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本文引用的文献

1
Chronic secondary glaucoma. Associated with retrodisplacement of iris root and deepening of the anterior chamber angle secondary to contusion.慢性继发性青光眼。与挫伤后虹膜根部后移及前房角加深有关。
Am J Ophthalmol. 1962 Oct;54:547-63.
2
Essential atrophy of the iris: a histopathologic study.虹膜原发性萎缩:一项组织病理学研究。
Trans Am Ophthalmol Soc. 1953;51:167-92.
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Anterior chamber glass membranes.前房玻璃膜。
Am J Ophthalmol. 1969 Aug;68(2):308-12. doi: 10.1016/0002-9394(69)94075-6.
4
A syndrome of iris nodules, ectopic Descemet's membrane, and unilateral glaucoma.一种伴有虹膜结节、异位后弹力层膜和单侧青光眼的综合征。
Doc Ophthalmol. 1969;26:424-33. doi: 10.1007/BF03186675.
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Iris nevus (Cogan-Reese) syndrome. A cause of unilateral glaucoma.虹膜痣(科根-里斯)综合征。单侧青光眼的一个病因。
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Endothelialization of filtering bleb in iris nevus syndrome.
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