缩瞳剂引发的“恶性青光眼”伴晶状体全脱位  

Diagnosis and treatment of malignant glaucoma with complete lens dislocation induced by miotic

作　　者：张大卫[1] 王荣升 张燕[1] 贺忠江[1] 

机构地区：[1]天津医科大学总医院眼科,天津300052 [2]天津大港区第四石化职工医院眼科,天津300270

出　　处：《眼外伤职业眼病杂志》2004年第3期190-191,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨“恶性青光眼”的非手术诱发因素、发病机制及其治疗的选择。方法　分析 1例缩瞳剂引发的、伴晶状体全脱位的“恶性青光眼”患者的误诊原因和诊疗经过。结果　对已经丧失视功能的上述患者行颞下方睫状体平坦部前玻璃体抽吸切除联合巩膜瓣下滤过性手术 ,术后 18月眼压正常。结论　充分了解“恶性青光眼”的诱发因素及其发病机制 ,对于非手术因素诱发的“恶性青光眼”的早期诊断、因地制宜地选择手术适应证和治疗方法至关重要。Objective To discuss the pathogenesis and treatment choices of miotic-induced malignant glaucoma.Methods Diagnosis and treatment of malignant glaucoma with complete dislocation of lens induced by mitoic were analysed.Results IOP was normal during 18 months after performed anterior vitreous aspiration in the inferotemporal regions of pars plana combined with filtration surgery for the vision loss patient.Conclusion It is significant to fully understand inducement and pathogenesis of malignant glaucoma for its earlier diagnosis and adequate treamtment.

关 键 词：缩瞳剂 恶性青光眼 晶状体全脱位 治疗 

分 类 号：R775[医药卫生—眼科]