Chronic angle-closure glaucoma; diagnosis and treatment in patients with angles that appear open.
Chronic angle-closure glaucoma; diagnosis and treatment in patients with angles that appear open.
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慢性闭角型青光眼；
DOI：
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发表时间：
1971
期刊：
影响因子：
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通讯作者：
I. Pollack
中科院分区：
文献类型：
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作者：
I. Pollack
12例无症状慢性青光眼和极窄的前房角，似乎开放的周边虹膜切除术成功地治疗。在每例病例中，初步检查显示没有房角闭合症状，临床表现与慢性（单纯）开角型青光眼非常相似;眼内压升高，药物治疗经常加重;眼内压波动较大;房角开放至裂隙或1级，1例部分房角闭合除外;散瞳激发试验为阴性。这种疾病的自然病程是房角逐渐变窄，最终并合性关闭，随后形成外周前粘连。如果疾病过程在粘连形成之前被中断，那么青光眼被治愈或可以容易地控制。
Twelve persons with asymptomatic chronic glaucoma and extremely narrow anterior chamber angles that appeared open were treated successfully with peripheral iridectomy. In each case initial examination revealed that there were no symptoms of angle closure and the clinical picture strongly resembled chronic (simple) open-angle glaucoma; intraocular pressure was elevated and frequently aggravated by medical therapy; there were large fluctuations in intraocular pressure; the angle was open to a slit or grade 1, except in one case with partial angle closure; and the mydriatic provocative test was negative. The natural course in this disease is for the chamber angle to become progressively narrowed with eventual appositional closure and later formation of peripheral anterior synechias. If the disease process is interrupted before formation of synechias, then the glaucoma is cured or can be controlled easily.