al-Torbak A, Karcioglu Z A, Abboud E, Netland P A
King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Ophthalmic Surg Lasers. 1998 Jun;29(6):510-3.
Patients with phacomorphic glaucoma present with mature cataract, shallowing of the anterior chamber, and angle-closure glaucoma. The opaque ocular media due to cataract formation usually precludes visualization of the posterior segment of the affected eyes. The authors describe a 65-year-old man who presented with reduced vision and clinical findings typical of phacomorphic glaucoma. Preoperative ultrasonography revealed an intraocular tumor, and magnetic resonance imaging showed a high signal intensity in T1-weighted images and a low signal intensity in T2-weighted images consistent with choroidal melanoma. Histopathologic examination of the tumor after enucleation confirmed the diagnosis. The clinical findings characteristic of phacomorphic glaucoma may be associated with choroidal melanoma. Ultrasonography or other imaging studies should be performed on eyes with phacomorphic glaucoma and opaque ocular media to allow timely detection of any mass lesion and to guide appropriate surgical management.
晶状体膨胀性青光眼患者表现为成熟白内障、前房变浅和闭角型青光眼。由于白内障形成导致的不透明眼内介质通常妨碍对患眼后段的观察。作者描述了一名65岁男性，其出现视力下降及晶状体膨胀性青光眼的典型临床表现。术前超声检查发现眼内肿瘤，磁共振成像显示在T1加权图像中呈高信号强度，在T2加权图像中呈低信号强度，符合脉络膜黑色素瘤表现。眼球摘除术后肿瘤的组织病理学检查确诊了该诊断。晶状体膨胀性青光眼的临床特征可能与脉络膜黑色素瘤有关。对于患有晶状体膨胀性青光眼且眼内介质不透明的眼睛，应进行超声检查或其他影像学检查，以便及时发现任何肿块病变并指导适当的手术治疗。
