Treatment Course of Recurrent Malignant Glaucoma Monitoring by Ultrasound Biomicroscopy: A Report of Two Cases

反覆發作之惡性青光眼，以超音波生物診斷儀追蹤其治療過程－二病例報告

沈佳蓉(Chia-Jung Shen) ； 陳瑛瑛(Ying-Ying Chen) ； 許淑娟(Shwu-Jiuan Sheu)

《The Kaohsiung Journal of Medical Sciences》 24卷11期 (2008/11) Pp. 608-613

摘要

藉由超音波生物診斷儀合併眼部軸性超音波，來確立診斷及觀察惡性青光眼之表現及治療成效。我們觀察兩位病患，共三隻眼睛發生惡性青光眼的案例。觀察其共同之臨床表現及治療經過，並比較其相同性及差異性。藉由超音波生物診斷儀，讓我們更容易觀察惡性青光眼的臨床表現及治療成效，並確立診斷，以防不可逆的視神經病變傷害發生。經臨床案例表現，來強化睫狀肌麻痺劑對惡性青光眼，長期治療之重要性。

關鍵字

眼內房水逆流症 ； 惡性青光眼 ； 超音波生物診斷儀

並列摘要

To study the mechanism underlying malignant glaucoma examined by ultrasound biomicroscopy (UBM) combined with axial scan and to observe the course of cilio-lens block in living eyes in real time, when malignant glaucoma occurs and remises, two cases of malignant glaucoma are reviewed. The two cases have common characteristics, such as short axial length, pseudophakia, and patent peripheral iridotomy. Both cases eventually achieved intraocular pressure control without surgical intervention during their management courses. UBM and axial scan were used for early detection, to confirm the diagnosis of these cases, and to observe the course of treatment. This method allows patients at risk for the disease to be identified and successfully treated before irreversible damage to the nerve occurs. These cases accentuate the importance of cycloplegic drugs in long-term malignant glaucoma treatments.

並列關鍵字

aqueous misdirection syndrome ； malignant glaucoma ； ultrasound biomicroscopy