11例急性闭角型青光眼双眼急性发作的诱因分析

目的探讨急性闭角型青光眼双眼急性发作患者的临床特点及诱因。方法对双眼发作的急性闭角型青光眼11例患者的诱因、视力、眼压、前房深度、周边前房、房角形态及屈光状态等进行分析比较。结果11例患者中7例曾用阿托品类药物治疗,2例因眼科检查时诱发,2例患者有剧烈情绪波动史;双眼前房深度:最浅眼为1.4mm,最深眼为1.9mm,每位患者双眼前房深度差别均小于0.2mm,周边前房深度均小于1/4CT或完全消失;双眼房角状态:22只眼静态下均为窄VI房角,动态下18只眼有不同程度的粘连闭合,4只眼呈完全开放状态。结论具有浅前房、窄房角解剖基础眼睛的患者,全身或局部应用阿托品类药物是急性闭角型青光眼双眼发作的重要诱因之一,不恰当的眼科眼科检查也会诱发双眼青光眼急性发作。

Clinical analysis of the patients with both eyes acute angle closure glaucoma

Objective To investigate the clinical character of the patients with bilateral acute angle closure glaucoma(AACG).Methods Comparison of cause,vision acuty(VA),intraocular pressure(IOP),depth of anterior chamber,depth of peripheral anter chamber,refractive error of 11 AACG patients with both eyes onset.Results Among 11 cases both eyes AACG,7 cases induced by general or local used atropine.2 cases had acute attack when did ophthalmic examination,2 cases had history of dramatic flucturation emotionally.The depth of anterior chamber ranges from 1.4mm to 1.9mm.The difference betweem two eyes of each case was less than 0.2mm,The depth of peripheral anterior chamber was less than 1/4CT. Conclusion General or local use of atropine is one of the most important cause of bieteral AACG for subjects with shallow anterior chamber and narrow angle.Improperty usage of ophthalmic examination can also cause bilateral AACG.