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最近我们发现闭角型青光眼一家系,现报告如下:先症者男51岁因右眼视力下降,眼部胀痛,头疼、恶心呕吐三天,于1991年11月3日就诊,眼部检查:视力右眼0.02,左眼0.4,均不能矫正,眼压:右眼7.5/2=5.62kpa,左眼5.5/4=2.74kpa,右眼结膜充血,角膜水肿,前房浅,瞳孔中等大,眼底模糊不清。左眼结膜充血,角膜清亮,前房正常,晶体透明,瞳孔圆,对光反射(+),眼底未见异常。诊断:右眼急性闭角型青光眼,急诊入院药物治疗,经用甘露醇、醋氮酰胺、碳酸氢钠,局部点用匹罗卡品和噻吗心安眼液,四天之后症状改善,眼压正常,视力提高到0.4,入院后第五天在局麻下行右眼巩膜瓣下咬切术,术中经过顺利,术后情况良好,2周后出
Recently, we found a family of angle-closure glaucoma, are reported as follows: The first symptom of male and 51-year-old male due to decreased visual acuity, eye pain, headache, nausea and vomiting for three days, on November 3, 1991 treatment, eye examination : Right eye 0.02, 0.4 left eye, can not be corrected, intraocular pressure: right eye 7.5 / 2 = 5.62kpa, left eye 5.5 / 4 = 2.74kpa, right conjunctival hyperemia, corneal edema, shallow anterior chamber, , Blurred eyes. Left conjunctival hyperemia, corneal clear, anterior chamber normal, crystal clear, pupil circle, light reflex (+), fundus no exception. Diagnosis: Right angle acute angle-closure glaucoma, emergency hospital drug treatment, after using mannitol, acetazolamide, sodium bicarbonate, topical pilocarpine and timolol eye drops, four days after the symptoms improved, intraocular pressure Normal, visual acuity increased to 0.4, the fifth day after admission in the local anesthesia under the right eye sclera flap bite surgery, surgery was smooth, good after surgery, after 2 weeks out