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本文报告3例(3只眼)上皮前房内生长所致的继发性闭角青光眼.基于可疑体征,首先通过受累虹膜诊断性氩激光光凝试验(显示特有的白色斑)初步确立上皮内生长诊断.3只患眼的病变虹膜接受广瑟光凝治疗,治疗前先采用氲激光标划出虹膜上皮膜分界与范围.随后2只无晶体眼接受病变虹膜、瞳孔膜、前段玻璃体和小粱切除;另一只较好视力的有晶体眼仅接受节段虹膜切除和Scheie巩膜灼瘘术.术后切除虹膜标本组织病理发现证实上皮植入诊断.随访8—15个月,虹膜受累面积少于70%的2只眼获得眼压控制,而虹膜受累面积大于70%的另一眼乃须药物控制眼压.
In this paper, 3 cases (3 eyes) of secondary angle-closure glaucoma caused by epithelial anterior chamber growth were reported. Based on suspicious signs, intraepithelial instillation was initially established by a diagnostic argon laser photocoagulation test (showing characteristic white plaques) Growth diagnosis .3 only the affected eye iris ginseng photocoagulation treatment, before treatment with 氲 laser standard delineation and scope of the iris epithelial membrane .Followed by two non-crystalline lens of the affected iris, pupil membrane, anterior vitreous and small Another case of better visual acuity was treated with segmental iridectomy and Scheie scleral gastrectomy.The histopathological findings of resected iris specimens confirmed the diagnosis of epithelial implantation.After 8-15 months of follow-up, the area of iris involvement IOP was controlled in less than 70% of the 2 eyes, and IOP was greater than 70% in the other eye.