- 期刊
- OpenAccess
偽晶體惡性青光眼－病例報告
Pseudophakic Malignant Glaucoma-A Case Report
摘要
惡性青光眼(Malignant Glaucoma)又稱為Ciliary-Block Glaucoma，Aqueous Misdirection或Posterior Aqueous Diversion Syndrome，為一少見且嚴重之眼前房手術後併發症。本篇報告壹例尿毒症病患，接受白內障囊外摘除術，並加上後房人工水晶體植入，手術後數天，發生高眼壓，前房為平。接受週邊虹膜切開術及小樑切除術，仍未改善。以惡性青光眼診斷，接受雷射後囊並玻璃體前膜切開術(laser capsulotomy-hyaloidotomy)，並予睫狀肌麻痺劑和擬交感神經作用劑(Cycloplegic and Sympathomimetic Agents)後，隔天眼壓降低前房恢復正常。
關鍵字
無資料並列摘要
Malignant glaucoma, also known as ciliary-block glaucoma, aqueous mis-direction or posterior aqueous diversion syndrome, is a rare but devastating postoperative sequelae in ophthalmic surgery of the anterior segment. We present here a patient who suffered from such complication a few days after an uneventful extra-capsular cataract extraction with implantation of posterior chamber intraocular lens. This patient had long standing uremia; and was receiving regular hemodialysis. High intraocular pressure with flattened anterior chamber occured several days after the cataract surgery. Although peripheral iridectomy and trabeculectomy were done, intraocular pressure remained high, and anterior chamber was still very shallow. Under the impression of malignant glaucoma, laser capsulotomy-hyaloidotomy was done followed by topical cycloplegic and sympathominmetic agents. Anterior chamber deepened gradually and intraocular pressure returned to normal in the following day.