Angle-closure glaucoma in association with orbital pseudotumor.
Angle-closure glaucoma in association with orbital pseudotumor.
复制标题
闭角型青光眼与眼眶假瘤相关。
DOI：
10.1016/s0161-6420(01)00700-x
复制
发表时间：
2001
期刊：
影响因子：
13.7
通讯作者：
G. Spaeth
中科院分区：
文献类型：
--
作者：
C. Bernardino;R. Davidson;M. Maus;G. Spaeth
目的描述继发于特发性炎性眼眶假瘤的闭角型青光眼的病理生理学。设计回顾性、小型非比较病例系列。参与者三名患有闭角型青光眼和眼眶假瘤的患者。方法使用磁共振成像（MRI）和超声生物显微镜（UBM）研究该实体的病理生理学。主要结果测量临床结果使用MRI和UBM证明了继发于假瘤的脉络膜积液引起的睫状体前旋导致的闭角。三例中的两例在治疗眼眶假瘤后得到缓解。结论：特发性眼眶假瘤是继发性闭角型青光眼的一个原因。闭角的机制是眼眶炎症引起的脉络膜积液继发的睫状体前旋。
PURPOSETo describe the pathophysiology of angle-closure glaucoma secondary to idiopathic inflammatory orbital pseudotumor.DESIGNRetrospective, small noncomparative case series.PARTICIPANTSThree patients with angle-closure glaucoma and orbital pseudotumor.METHODSThe pathophysiology of this entity was investigated using magnetic resonant imaging (MRI) and ultrasound biomicroscopy (UBM).MAIN OUTCOMES MEASURESClinical features, anterior chamber angle configuration, and intraocular pressure.RESULTSAngle closure from anterior rotation of the ciliary body caused by choroidal effusions secondary to pseudotumor was demonstrated using MRI and UBM. Two of the three cases resolved after treatment for orbital pseudotumor.CONCLUSIONSIdiopathic orbital pseudotumor is a cause of secondary angle-closure glaucoma. The mechanism of angle closure is anterior rotation of the ciliary body secondary to choroidal effusions resulting from the orbital inflammation.