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1869年Von GraeF首先提出恶性青光眼这一诊断名词,是抗青光眼术后的一种严重并发症。指闭角型青光眼术后数小时、数日,以致数月发生前房变浅或消失、眼压升高、用一般抗青光眼治疗方法(包括滤过性手术及缩瞳)不但无效,反而导致眼压升高;用散瞳剂,高渗药物及激素可使眼压缓解。如果处理不当往往失明,甚至需要摘除眼球,因此称为恶性青光眼。恶性青光眼这一名词不反映本病的病因,又给病人造成心理上的恐惧。近十几年来报告的一些恶性青光眼病例,发生在没有施行过抗青光眼手术,
In 1869, Von GraeF first proposed the diagnosis of malignant glaucoma, which is a serious complication after glaucoma surgery. Refers to angle-closure glaucoma after a few hours, a few days, resulting in a few months occurred anterior chamber shallow or disappear, intraocular pressure, with the general anti-glaucoma treatment (including filtering surgery and miosis) not only invalid, but lead to IOP increased; with mydriatic agents, hypertonic drugs and hormones can relieve intraocular pressure. If handled properly often blind, or even need to remove the eye, it is called malignant glaucoma. The term malignant glaucoma does not reflect the etiology of the disease, but it also causes psychological distress to the patient. The past few years reported some cases of malignant glaucoma, occurred in the absence of anti-glaucoma surgery,