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第12章闭角青光眼的诊断和分类(续) 诊断上的陷阱有些急性充血性发作自发地消退,当眼科医生见到病人时,在裂隙灯下只能发见不规则、通常为扩大的瞳孔、房水闪光和细胞。病人的病史为伴有视力模糊的突然疼痛。眼内压通常很低,这即见于急性充血性青光眼发过后房水生成停止,也见于单纯虹膜炎之后。若不进行房角镜检查发现非常狭窄的房角,眼科医生可能把此病症错误地诊断为虹膜炎而不是闭角青光眼。虹膜炎的通常治疗为皮质类固醇,当有后粘连时要用扩瞳剂,持别是阿托品。皮质类固醇清除炎症反应及改善主觉症状。睫状肌麻痹剂在治疗的头几
CHAPTER 12 DIAGNOSIS AND CLASSIFICATION OF ANGIOPROSCOPE (CONTINUED) Diagnostic Traps Some acute congestive seizures subside spontaneously and when ophthalmologists see the patient, only irregular, usually enlarged, pupils appear under the slit lamp Aqueous humor and cells. The patient's history was sudden pain accompanied by blurred vision. Intraocular pressure is usually very low, which is found in the aqueous humor after the onset of acute congestive glaucoma stopped, also seen after simple iritis. Ophthalmologists may mistakenly diagnose the condition as iris rather than angle-closure glaucoma without a gonioscopic examination of a very narrow angle. The usual treatment of iritis is corticosteroids, when there are post-adhesions to use dilation agent, do not hold atropine. Corticosteroids eliminate inflammation and improve symptoms. Cycloplegic treatment of the first few