Angel-closure glaucoma following scleral buckling operations.
Angel-closure glaucoma following scleral buckling operations.
复制标题
巩膜扣带手术后的闭角型青光眼。
DOI：
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发表时间：
1976
期刊：
影响因子：
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通讯作者：
Burton Tc
中科院分区：
文献类型：
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作者：
Perez Rn;Phelps Cd;Burton Tc
对22例巩膜扣带术后闭角型青光眼患者进行了观察。这些患者术前房角不窄，少数患者无晶状体眼合并手术虹膜缺损。闭角型青光眼表现为角膜混浊、眼压升高、闭合角、缺失或虹膜爆炸、脉络膜脱离。使用睫状肌麻痹药和皮质类固醇的治疗比使用miotics治疗更有效。一个可能的致病机制是睫状体充血和肿胀，这是由于巩膜扣带与静脉引流的暂时干扰。与巩膜内植入物相比，巩膜外植入物在闭角型青光眼的发生率上具有统计学意义。
: We have observed 22 patients with angle-closure glaucoma following scleral buckling operations. These patients did not have narrow anterior chamber angles preoperatively, and several were aphakix with surgical iris colobomas. The angle-closure glaucoma was manifest by a hazy cornea, elevated intraocular pressure, closed angle, absence or iris bombe, and presence of choroidal detachments. Treatment with cycloplegics and corticosteroids was more effective than treatment with miotics. A likely pathogenic mechanism is congestion and swelling of the ciliary body due to a temporary interference by the scleral buckle with venous drainage. Episcleral implants accounted for a statistically significant higher incidence of angle-closure glaucoma as compared to intrascleral implants.