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原发性闭角型青光眼的早期诊断具有非常重要的临床意义:根据浅前房,依靠病史和激发试验,对闭角型青光眼可能早期确诊。此时前房角小梁的功能正常,只要做一次可靠的周边虹膜切除术,就可使前后房的房水畅通,根除了瞳孔阻滞,青光眼几乎可完全得到治愈。作者自82年3月--86年9月,4年半时间内对浅前房者测量周边前房的深度,对部分前房周边<1/4C.T的病人作了Hyams等介绍的俯卧试验,但延长其时间为2小时,发现2小时的俯卧试验对闭角型青光眼比较敏感,现作一回顾性分析。
Early diagnosis of primary angle-closure glaucoma has very important clinical significance: According to the shallow anterior chamber, relying on history and challenge test, angle-closure glaucoma may be diagnosed early. At this point anterior chamber angle trabecular function is normal, as long as a reliable peripheral iridectomy, can make the aqueous humor before and after the room unblocked, eradicated pupil block, glaucoma can be almost completely cured. The author from March 1982 - 86 years in September, four and a half years for the shallow anterior chamber measurements of the depth of the surrounding anterior chamber, on the part of the anterior chamber <1 / 4C.T patients Hyams et al. Test, but the extension of its time was 2 hours and found 2 hours of prone test is more sensitive to angle-closure glaucoma, now make a retrospective analysis.