NEJM:色素播散综合征虹膜透照缺陷-病例报道

2019-11-14 xing.T MedSci原创

虹膜后弯会引起晶状体小带纤维的擦伤和色素释放。这种色素积聚在眼睛的小梁网中,可阻碍房水引流,从而导致眼内压升高,以及随后的视神经损害,称为色素性青光眼。

患者为一名有青光眼家族病史的44岁男子,到眼科就诊。他既往因为眼压升高,已经开始使用噻吗洛尔、溴莫尼定和溴苯甲酰胺治疗。

每只眼睛的测得压力为21mmHg(正常范围12至20),每只眼睛的视力为20/25。检查时发现两只眼睛都有轮辐状虹膜透照缺陷。前房角膜镜检查发现右眼虹膜角膜角呈开放性,但有色素沉着,右眼杯状盘比为0.4,左眼为0.6。该患者被诊断为色素播散综合征。



虹膜后弯会引起晶状体小带纤维的擦伤和色素释放。这种色素积聚在眼睛的小梁网中,可阻碍房水引流,从而导致眼内压升高,以及随后的视神经损害,称为色素性青光眼。

该患者接受了选择性激光小梁成形术,但继续使用降压眼药水来控制其眼内压。 
 
原始出处:

Lance Lyons,et al.Iris Transillumination Defects in Pigment Dispersion Syndrome.N Engl J Med 2019;https://www.nejm.org/doi/full/10.1056/NEJMicm1903842

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    2022-10-04 ms6000000067851049

    色素

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    2020-02-01 sunylz
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    2020-07-30 LSJ123
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    2019-11-15 14794e5bm67(暂无昵称)

    学习了,不错的话题,非常精彩,受益非浅

    0

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    2019-11-14 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=2091792, encodeId=cc012091e9242, content=色素, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b6786415107, createdName=ms6000000067851049, createdTime=Tue Oct 04 20:13:53 CST 2022, time=2022-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1680644, encodeId=b86716806449f, content=<a href='/topic/show?id=9e5c86e0712' target=_blank style='color:#2F92EE;'>#色素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86707, encryptionId=9e5c86e0712, topicName=色素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=343027846633, createdName=sunylz, createdTime=Sat Feb 01 04:03:00 CST 2020, time=2020-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2058997, encodeId=fd52205899ea0, content=<a href='/topic/show?id=250186e14f7' target=_blank style='color:#2F92EE;'>#色素播散综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86714, encryptionId=250186e14f7, topicName=色素播散综合征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3860283, createdName=whmdzju, createdTime=Wed Sep 09 20:03:00 CST 2020, time=2020-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1948863, encodeId=57d5194886372, content=<a href='/topic/show?id=7b9c885e6d9' target=_blank style='color:#2F92EE;'>#虹膜透照缺陷#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88576, encryptionId=7b9c885e6d9, topicName=虹膜透照缺陷)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aa0e14, createdName=lifestar, createdTime=Tue May 26 02:03:00 CST 2020, time=2020-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1754789, encodeId=96b41e547891d, content=<a href='/topic/show?id=efff8856504' target=_blank style='color:#2F92EE;'>#虹膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88565, encryptionId=efff8856504, topicName=虹膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab9a36785616, createdName=LSJ123, createdTime=Thu Jul 30 05:03:00 CST 2020, time=2020-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1431681, encodeId=b448143168133, content=<a href='/topic/show?id=f9b9e9124a8' target=_blank style='color:#2F92EE;'>#综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79124, encryptionId=f9b9e9124a8, topicName=综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri Nov 15 23:03:00 CST 2019, time=2019-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=375282, encodeId=5be43e5282db, content=学习了,不错的话题,非常精彩,受益非浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Fri Nov 15 18:36:23 CST 2019, time=2019-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035014, encodeId=5707103501470, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Thu Nov 14 11:03:00 CST 2019, time=2019-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=375150, encodeId=1aed3e51503c, content=很好的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/04/12/cd30eefc465f70dc4dad89bd57479781.jpg, createdBy=02be2318568, createdName=一天没事干, createdTime=Thu Nov 14 08:56:58 CST 2019, time=2019-11-14, status=1, ipAttribution=)]
    2019-11-14 一天没事干

    很好的学习机会

    0