| 窄角型慢性单纯性青光眼：附9例报告 |
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| 引用本文： | 彭大伟,袁志兰.窄角型慢性单纯性青光眼：附9例报告[J].眼科学报,1993,9(4):167-170. |
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| 作者姓名： | 彭大伟 袁志兰 |
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| 作者单位： | 中山医科大学中山眼科中心
(彭大伟)，南京医学院眼科教研组(袁志兰) |
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| 摘 要： | 本文对9例(16眼)窄角型慢性单纯性青光眼(简称“窄角慢单”)的诊断治疗进行了分析,指出窄角慢单是原发性开角型青光眼的一种特殊类型。其诊断的建立,除了符合原发性开角型青光眼的一般定义外,低眼压及高眼压状态下,房角形态无明显差异,均呈窄房角开放状态为其特征.激光周边虹膜切除术可作为鉴别诊断手段之一,亦可防止这类患者随年龄增长,晶体增大导致瞳孔阻滞而引起的急性闭角型青光眼样的发作。窄角慢单的治疗,作者主张首选药物治疗,对于药物不能控制者宜及时采用滤过性手术。
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| 关 键 词： | 青光眼 窄角型青光眼 开角型青光眼 |
NARROW ANGLE TYPE OF CHRONIC SIMPLE GLAUCOMA: A REPORT OF 9 CASES |
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| Abstract: | Nine patients (16 eyes) with narrow angle type of chronic simple glaucoma were evaluated. Besides the general definition,narrow angle type of chronic simple glaucoma is a special type of primary open angle glaucoma which has a narrow and open angle on goniogscopy,no obvious difference on angle configuration at low or high IOP. Laser peripheral iridectomy may be a method of differential diagnosis in this type of glaucoma and may be relatively effective in preventing further attacks of acute angle closure glaucoma which is due to the lens continues to enlarge with age and causes pupillary block. The medical treatment is the first choice to deal with this type of glaucoma,while it can not be controlled,the filtering operations should be used in time. |
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| Keywords: | open-angle glaucoma narrow angle configuration laser iridectomy |
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