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原发性闭角型青光眼伴晶体不全脱位1例

郭怡然 杜兆江

中国医药科学2024,Vol.14Issue(10):188-191,4.
中国医药科学2024,Vol.14Issue(10):188-191,4.DOI:10.20116/j.issn2095-0616.2024.10.45

原发性闭角型青光眼伴晶体不全脱位1例

Primary angle closure glaucoma with lens subluxation:a case report

郭怡然 1杜兆江1

作者信息

  • 1. 西安市中心医院,陕西西安 710004
  • 折叠

摘要

Abstract

The basic factors of primary angle closure glaucoma(PACG)are microphthalmia,short axial length and hyperopia,and the lens factor plays an important role in its pathogenesis.The diagnosis is often missed because of corneal edema,unclear anterior segment or slight eccentricity of lens,and not obvious signs,so the intraocular pressure rises instead of falling after conventional medication.The patient of this case complained with"vision loss in the left eye and headache on the left side for one month"and was diagnosed as primary acute angle closure glaucoma.After using miotic drugs,the intraocular pressure did not decrease,but increased.After being treated with mydriatic drugs,the intraocular pressure decreased,and phacoemulsification and intraocular lens implantation were given to the left eye cataract.After operation,the intraocular pressure was normal,the cornea was clear and the depth of anterior chamber was acceptable.

关键词

青光眼/晶体不全脱位/白内障手术/原发性闭角型青光眼

Key words

Glaucoma/Lens subluxation/Cataract surgery/Primary angle closure glaucoma

分类

医药卫生

引用本文复制引用

郭怡然,杜兆江..原发性闭角型青光眼伴晶体不全脱位1例[J].中国医药科学,2024,14(10):188-191,4.

基金项目

陕西省西安市卫生健康委员会科研项目(2022zp01). (2022zp01)

中国医药科学

2095-0616

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