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医源性散瞳诱发青光眼急性发作的临床分析 被引量:7

Clincial analysis of acute angle-closure glaucoma after pharmacologic mydriasis
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摘要 目的 :探讨医源性散瞳诱发青光眼急性发作的易感因素。方法 :对 2 6例 ( 2 8眼 )医源性散瞳诱发青光眼急性发作的患者进行回顾性分析。结果 :散瞳检查眼底诱发青光眼急性发作 16眼 ,翼状胬肉切除术后诱发青光眼急性发作 4眼 ,胃肠手术后用阿托品诱发青光眼急性发作 3眼 ,基础麻醉前用阿托品诱发青光眼急性发作 5眼 ;全部发作眼前房轴深均小于 1 8mm ,房角呈关闭状况。结论 :存在前房浅、房角窄解剖基础的眼睛是散瞳诱发青光眼急性发作的易感因素。 Objective:To study the incidence of acute angle-closure glaucoma (AACG) secondary to pharmacologic mydriasis. Methods:The causes of 26 cases (28 eyes) of AACG secondaly to pharmacologic mydriasis were retrospectively reviewed. Results:Among the 26 cases,AACG induced by pharmacologic mydriasis to examine ocular fundus was in 16 eyes,4 eyes of AACG were onset after the excision of pterygium,3 eyes were induced by Atropine applied in ventral operation,5 eyes by Atropine used before general anesthesia.Anterior chamber distance were less than 1.8 mm and chamber angles closod in all cases. Conclusions:Shallow antorior chamber and narrow chamber angles are the incidences of AACG after pharmacologic mydriasis.
出处 《中国实用眼科杂志》 CSCD 北大核心 2003年第11期834-835,共2页 Chinese Journal of Practical Ophthalmology
关键词 医源性散瞳 青光眼急性发作 易感因素 手术治疗 手术方式 Pharmacologic mydriasis,Glaucoma,Incindence
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  • 1Robert Ritch,M Bruce Shields,Theodore Krupin.The Glaucomas 2nd.ed.Louis.Missouri:Mosby—year Book Ine 1996 1527~1528.
  • 2M Bruce Shields.Textbook of Glaucoma.4th ed,Bahimoke.Williams&Willkin 1997 182~183.

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