不典型的虹膜角膜内皮综合征1例  

A case of atypical iris corneal endothelial syndrome

作　　者：程彦彦 程素棉 徐红佳 尹娟 陈红 Cheng Yanyan;Cheng Sumian;Xu Hongjia;Yin Juan;Chen Hong(Hebei Eye Hospital,Hebei Key Laboratory of Ophthalmology,Hebei Clinical Medical Research Center of Eye Diseases,Xingtai 054001,China)

机构地区：[1]河北省眼科医院,河北省眼科学重点实验室,河北省眼部疾病临床医学研究中心,邢台054001

出　　处：《中华眼科杂志》2022年第2期146-148,共3页Chinese Journal of Ophthalmology

基　　金：河北省医学科学研究课题(20191049)。

摘　　要：虹膜角膜内皮综合征是一种少见的眼科疾病,多为单眼发病,女性多见,因临床表现多样误诊漏诊率较高。本例患者表现为难以控制的高眼压,角膜水肿导致角膜内皮形态不易观察,且伴有虹膜少量新生血管,青光眼手术前未能明确诊断,术后角膜清亮后进一步完善检查,最终确诊为虹膜角膜内皮综合征(Chandler综合征)。Iridocorneal endothelial syndrome is a rare ophthalmic disease,most of which are unilateral and common in women.The rate of misdiagnosis and missed diagnosis is relatively high due to its various clinical manifestations.In this case,the patient presented uncontrollable high intraocular pressure,corneal edema leading to difficult observation of corneal endothelium morphology,and accompanied by a small amount of iris neovascularization.No clearly diagnosis was made before glaucoma surgery.Further examination was performed after corneal clearance,and the final diagnosis was iris corneal endothelial syndrome(Chandler syndrome).

关 键 词：虹膜角膜内皮综合征 漏诊 

分 类 号：R772.2[医药卫生—眼科]