人工晶状体性瞳孔阻滞性青光眼
Pseudophakic pupillary-block glaucoma.
作者信息
Werner D, Kaback M
出版信息
Br J Ophthalmol. 1977 May;61(5):329-33. doi: 10.1136/bjo.61.5.329.
Four cases of iris-supported pseudophakic pupillary-block glaucoma were presented. Pupillary-block glaucoma is the first postoperative complication seen following the implantation of an intraocular lens, and in our series occurred at an incidence of 3-8%. A short review was made of pupillary-block glaucoma with all types of intraocular lenses, with emphasis on the iris-supported lens. The role of inflammation, haemorrhage, and vitreous and lens material in obstructing aqueous flow at the pupil and peripheral iridectomy site was emphasised. Pitfalls in the diagnosis and management of this condition were reviewed. Methods of prevention and treatment were reviewed with emphasis on early mydriasis, along with carbonic anhydrase inhibitors and hyperosmotic agents as a primary medical treatment. Iridectomy, laser iridotomy, or transfixation of the iris was mentioned as a surgical treatment.
本文报告了4例虹膜支撑型人工晶状体瞳孔阻滞性青光眼。瞳孔阻滞性青光眼是人工晶状体植入术后最早出现的并发症，在我们的系列病例中发生率为3%-8%。本文对各类人工晶状体所致的瞳孔阻滞性青光眼进行了简要综述，重点讨论了虹膜支撑型人工晶状体。强调了炎症、出血、玻璃体及晶状体物质在瞳孔和周边虹膜切除术部位阻碍房水流动中的作用。综述了该疾病诊断和治疗中的陷阱。回顾了预防和治疗方法，重点是早期散瞳，以及碳酸酐酶抑制剂和高渗剂作为主要药物治疗。虹膜切除术、激光虹膜切开术或虹膜贯穿缝合术被提及作为手术治疗方法。
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