Endo S, Hashimoto Y, Ishida N, Kusano Y, Ohkoshi K, Yamaguchi T
Department of Ophthalmology, St. Luke's International Hospital, Japan.
Nippon Ganka Gakkai Zasshi. 1998 Jan;102(1):75-9.
An eight-year-old boy developed acute glaucoma in his left eye. He was diagnosed as having Marshall syndrome because of bilateral cataract, high myopia, saddle nose, hypertelorism, and lack of arthropathy. When seen immediately after the glaucomatous attack, the affected eye showed ruptured anterior and posterior lens capsules and displacement of the lens nucleus into the anterior chamber and vitreous cavity. Lens extraction and vitrectomy induced normalization of intraocular pressure and visual acuity. There are forty cases reported in the world literature and only one cases in Japan. To the best of our knowledge, this is the first case treated successfully by vitreous surgery.
一名8岁男孩左眼患上急性青光眼。他因双侧白内障、高度近视、鞍鼻、眼距过宽以及无关节病而被诊断为患有马歇尔综合征。青光眼发作后立即就诊时，患眼显示晶状体前后囊破裂，晶状体核移位至前房和玻璃体腔。晶状体摘除术和玻璃体切除术使眼压和视力恢复正常。世界文献报道了40例，日本仅1例。据我们所知，这是首例通过玻璃体手术成功治疗的病例。
