白内障术后1 d发生恶性青光眼1例报道  

A case report of malignant glaucoma occurred one day after cataract surgery

作　　者：黄煜薇 杨芳 余锦强 HUANG Yuwei;YANG Fang;YU Jinqiang(Postgraduate Training Base,Jinzhou Medical University,Hubei University of Medicine,Shiyan 442000,China;Department of Ophthalmology,Shiyan Renmin Hospital,Shiyan 442000,China)

机构地区：[1]锦州医科大学湖北医药学院研究生培养基地,湖北十堰442000 [2]湖北省十堰市人民医院眼科,湖北十堰442000

出　　处：《中国现代医生》2021年第21期155-157,161,F0003,共5页China Modern Doctor

基　　金：湖北省十堰市引导性科研项目(19Y77)。

摘　　要：恶性青光眼(Malignant glaucoma,MG)是一类发作迅速、症状重、治疗难度大的继发性青光眼,多发生于青光眼滤过术后[1],目前已有许多相关病案报道。然而白内障超乳晶体植入术后发生恶性青光眼的报道却并不多见。短眼轴是MG的独立危险因素[2],前房浅、房角狭窄、晶状体较厚并且前移的特点[3-5],与原发性闭角型青光眼(Primary angle-closure glaucoma,PACG)眼前节形态的高度相似性,使得合并短眼轴的PACG的术后风险性更大。该文记录了1例慢性闭角型青光眼患者行白内障术后1 d发生MG的相关情况。Malignant glaucoma(MG)is a kind of secondary glaucoma with rapid onset,severe symptoms and difficult treatment,which mostly occurs after glaucoma filtration surgery.At present,there are many reported related medical records.However,there are few reports of MG caused by phacoemulsification.Short eye axial length is an independent risk factor for MG,which has the features of shallow anterior chamber,narrow angle,thick lens and forward movement.It is highly similar to the shape of anterior segment of primary angle-closure glaucoma(PACG).Therefore,the postoperative risk of PACG with complicated short eye axial length is higher.In this paper,the incidence of MG in a patient with chronic angle-closure glaucoma one day after cataract surgery was recorded.

关 键 词：短眼轴 恶性青光眼 白内障超乳晶状体植入术 慢性闭角型青光眼 

分 类 号：R779.6[医药卫生—眼科]