Evaluation of Secondary Glaucoma Associated With Subluxated Lens Misdiagnosed as Acute Primary Angle-closure Glaucoma
Evaluation of Secondary Glaucoma Associated With Subluxated Lens Misdiagnosed as Acute Primary Angle-closure Glaucoma
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DOI：
10.1097/ijg.0b013e318241b85b
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发表时间：
2013-04-01
影响因子：
2
通讯作者：
Liu, Xing
中科院分区：
文献类型：
--
作者：
Luo, Lixia;Li, Mei;Liu, Xing
目的：目的探讨透镜半脱位继发急性闭角型青光眼的误诊原因及术后疗效。方法：回顾性临床研究。通过超声生物显微镜检查悬韧带分离、前房角和前房深度。结果：透镜半脱位继发急性闭角型青光眼31眼（5.89%）误诊为急性原发性闭角型青光眼。在这些病例中，患眼的前房深度明显浅于对侧眼（1.34 +/- 0.45 vs. 2.27 +/- 0.44，P
Purpose: To evaluate the causes of misdiagnosis in patients with acute angle-closure glaucoma secondary to subluxated lens, and postoperative outcomes.Design: Retrospective clinical study.Methods: Five hundred twenty-six cases of acute angle-closure glaucoma were consecutively recruited from Zhongshan Ophthalmic Center between March 2003 and March 2009. Zonular dialysis, anterior chamber angle, and anterior chamber depth were examined by ultrasound biomicroscopy. Surgical therapy was performed according to the degree of zonular dialysis and angle closure.Results: Thirty-one eyes (5.89%) with acute angle-closure glaucoma secondary to lens subluxation were misdiagnosed as acute primary angle-closure glaucoma. In these cases, the anterior chamber depth of the affected eyes was significantly shallower than the fellow eyes (1.34 +/- 0.45 vs. 2.27 +/- 0.44, P