波利迪普西亚诱导的急性角度关闭危机
Akash Maheshwari1, Noor Laylani2, Pamela Davila Siliezar2
1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Journal of glaucoma
|January 28, 2025
概括
本案例报告详细介绍了一种罕见的急性角度闭合危机 (AACC) 病例,该病例是由精神病原性多症引发的. 这项研究强调了过多的饮用水和突然,严重的眼睛压力升高之间的新联系.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 紧急医疗 紧急医疗
背景情况:
- 急性视角闭合危机 (AACC) 是一种严重的眼科疾病,其特征是眼内压力 (IOP) 突然升高.
- 心理多症,过度饮用水,可以导致低血症和改变精神状态.
- 多滴水症和AACC之间的联系尚未得到充分证实,报告的病例很少.
研究的目的:
- 报告第一个由原发性过渡性精神性多滴水症引起的AACC病例.
- 探索将多滴水症与AACC联系在一起的潜在机制.
- 强调在患有AACC和精神状态改变的患者中考虑多滴水症的重要性.
主要方法:
- 一个74岁的男性患有低血和精神状态改变的病例介绍.
- 眼科评估显示右眼的内压明显升高 (47 mm Hg).
- 用局部药物治疗和用后腔眼内透镜 (PCIOL) 放置的发泡乳化.
主要成果:
- 患者经历了急性开始的低血症,随后是痛苦的视力丧失和头痛.
- 眼科检查证实了固定,扩张的右瞳孔和极高的内血压.
- 通过医疗和外科干预成功管理,包括化.
结论:
- 心理多症可以通过诸如冠状腺扩张或改变上腺素调的机制来导致AACC.
- 这一案例强调了需要在AACC患者中进行全面的差异诊断.
- 早期识别和管理对于在AACC中维护视力至关重要.
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