摘要
目的探讨青光眼睫状体炎综合征(PSS)并发原发性闭角型青光眼(PACG)的临床特点和治疗方法。方法回顾性分析6例PSS并发PACG患者的临床资料并与146例一般的PSS患者的资料作对比分析。结果①并发PACG的PSS患者的年龄较大、病程较长,青光眼损害相对多而重;②6例中1例先诊断为PSS,其他5例先诊断为PACG;③YAG激光虹膜周边切除术治疗4例,PACG临床治愈3例,4例PSS仍有发作但未加重;④外引流手术治疗3例,PACG治愈,其中2例PSS已停止发作。结论PSS并发PACG是客观存在的;并发PACG的PSS患者具有年龄较大、病程较长及青光眼性视野损害较多较重等特点;对具有前述特点的PSS患者要注意PACG的有关检查,对PACG治疗后房角开放,单眼间歇性眼压升高的患者应警惕PSS;妥善把握好适应证和时机,并发PSS的PACG的激光治疗和外科手术的效果良好。
AIM: To explore the clinical characteristics and therapeutic methods of glaucomatocyclitic crisis (Posner-Schlossmann Syndrome, PSS) accompanied with primary angle-closure glaucoma (PACG).· METHODS: The clinical data of 6 cases subjected to PSS accompanied with PACG were retrospectively analyzed, and were compared with that of 146 cases of simple PSS.· RESULTS: ① The cases of PSS combined with PACG had the characteristics of older age, longer courses of disease and more serious glaucomatous damage. ② One of the 6 cases was firstly diagnosed as PSS, the other 5 cases were firstly diagnosed as PACG. ③ Four cases were treated by peripheral iridectomy with YAG laser, PSS still showed attacks as usual with no worse appearance, and PACG were clinically cured in 3 cases. ④ Three cases were treated with filtering operation and PACG were cured in all the cases; Two cases had stopped showing attack of PSS.· CONCLUSION: PSS accompanied with PACG does exist objectively. The cases of PSS accompanied with PACG have the characteristics of older age, longer courses of disease and more serious glaucomatous damage. More attention should be paid to PACG when the cases of PSS have the characteristics as mentioned before. Also more attention should be paid to PSS in patients with PACG whose intraocular pressure shows intermittence rising after their PACG is treated and their anterior chamber angle is opened. Laser or surgery will gain good results in cases of PSS with PACG if the indication and opportunity are properly selected.·
出处
《国际眼科杂志》
CAS
2004年第5期844-847,共4页
International Eye Science
