Fukuchi T, Ueda J, Hara H, Oota A, Watanabe J, Shirakashi M, Abe H, Sawaguchi S
Department of Ophthalmology, Niigata University School of Medicine, Japan.
Nippon Ganka Gakkai Zasshi. 1998 Nov;102(11):746-51.
To evaluate the characteristics of 10 glaucomatous cases with microcornea, we measured corneal diameter, curvature, axial length, and depth of anterior chamber, and examined the eyes with a specular microscope and an ultrasound biomicroscope. The ten cases examined in this study included 1 case of cornea plana, 2 cases of sclerocornea, 2 cases of nanophthalmos, and 5 cases of anterior microphthalmos. Three of the 10 cases were combined with open angle glaucoma, and the others with closed angle glaucoma. Open-angle glaucoma seemed like developmental glaucoma with angle maldevelopment. The closed angle type may appear at a younger age than in patients who have simple pupilary block. There are probably complex mechanisms related with closed angle glaucoma with microcornea. While differential diagnosis among these cases is relatively easy, we should evaluate how or why the intraocular pressure rises as far as possible before forming a treatment plan for each patient.
为评估10例小角膜青光眼患者的特征,我们测量了角膜直径、曲率、眼轴长度和前房深度,并用角膜内皮显微镜和超声生物显微镜对眼睛进行了检查。本研究中检查的10例患者包括1例扁平角膜、2例巩膜化角膜、2例小眼球症和5例前部小眼球症。10例中有3例合并开角型青光眼,其余合并闭角型青光眼。开角型青光眼似乎是伴有房角发育异常的发育性青光眼。闭角型青光眼可能比单纯瞳孔阻滞患者发病年龄更小。小角膜闭角型青光眼可能存在复杂的发病机制。虽然这些病例之间的鉴别诊断相对容易,但在为每位患者制定治疗方案之前,我们应尽可能评估眼压升高的方式或原因。