BEHAVIOR OF THE FELLOW EYE IN ACUTE ANGLE-CLOSURE GLAUCOMA
BEHAVIOR OF THE FELLOW EYE IN ACUTE ANGLE-CLOSURE GLAUCOMA
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DOI：
10.1136/bjo.66.9.576
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发表时间：
1982-01-01
影响因子：
4.1
通讯作者：
EDWARDS, RS
中科院分区：
文献类型：
--
作者：
EDWARDS, RS
本文对245例原发性急性闭角型青光眼（ACG）患者的对侧眼进行了回顾性研究。就诊时，25例（10.2%）患者的对侧眼发现急性ACG。在其余220例中，33例（15%）在预防性手术前随后发生了急性ACG。对可能的诱发因素进行了分析。对侧眼的急性ACG最常发生在住院期间，或者如果未进行预防性手术则在出院后的第1个月内。在手术眼滴用散瞳剂会增加对侧眼的风险。毛果芸香碱和碳酸酐酶抑制剂对对侧眼有最好的保护作用，但没有任何药物治疗方案能完全防止对侧眼发生急性ACG发作。
A retrospective study of 245 fellow eyes of patients admitted in primary acute angle-closure glaucoma (ACG) is presented. Acute ACG was found in the fellow eye in 25 (10.2%) patients on presentation. Of the remaining 220, 33 (15%) subsequently developed acute ACG before prophylactic surgery was performed. Possible predisposing factors were analyzed. Acute ACG in the fellow eye occurred most frequently in hospital, or during the 1st mo. after discharge if prophylactic surgery was not performed. The instillation of mydriatics in the operated eye increased the risk to the fellow eye. Pilocarpine and carbonic anhydrase inhibitors confer the best protection on the fellow eye, but no medical regimen entirely prevented an attack of acute ACG in the fellow eye.