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色素性青光眼和囊性青光眼:临床和组织病理学报告
引用本文:余敏斌,叶天才.色素性青光眼和囊性青光眼:临床和组织病理学报告[J].眼科学报,1991,7(2):82-85.
作者姓名:余敏斌  叶天才
作者单位:中山医科大学中山眼科中心,中山医科大学中山眼科中心,中山医科大学中山眼科中心,中山医科大学中山眼科中心
摘    要:本文报告色素性青光眼7例(13眼),囊性青光眼9例(12眼)。眼前段色素播散和剥脱物质沉着分别是色素性青光眼和囊性青光眼的特征性改变,而囊性青光眼也可见非典型眼前段色素播散。小梁标本的组织病理学研究表明色素性青光眼中色素颗粒,囊性青光眼中剥脱物质和色素颗粒在阻塞房水排出通道中起重要作用。本文还讨论了这二型青光眼的诊断和鉴别诊断。

关 键 词:青光眼  色素性青光眼  囊性青光眼  病理

Pigmentary glaucoma and capsular glaucoma--a clinical and histopathological report]
M Yu,T Ye,W Zhou,J Zhang.Pigmentary glaucoma and capsular glaucoma--a clinical and histopathological report][J].Eye Science,1991,7(2):82-85.
Authors:M Yu  T Ye  W Zhou  J Zhang
Institution:Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou, China.
Abstract:In this paper, 7 cases (13 eyes) of pigmentary glaucoma and 9 cases (12 eyes) of capsular glaucoma were reported. Pigmentary dispersion in pigmentary glaucoma, pseudo-exfoliation material deposition in capsular glaucoma were the classical characteristics in the anterior segment of the eye, but pigmentary scatter was another clinical feature of capsular glaucoma. The histopathological studies of the trabeculectomy specimens by the light and transmission electron microscopy demonstrated that pigment granules or/and pseudo-exfoliation materials played an important role in obstructing the outflow tract of aqueous humor. In addition, we also discuss the diagnosis and differential diagnosis of both types of glaucoma.
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