病例报告二次视角闭合玻璃眼从索默林环呈现与短暂的全单眼视力损失的情节
Sarah Zhou1,2, Anna Urrea3, Samuel J Spiegel1,2
1University of California, Irvine School of Medicine, Irvine, CA, 92697, USA.
American journal of ophthalmology case reports
|December 9, 2025
概括
一个大的Soemmering环引起间歇性的二次角度闭眼,呈现为无痛的短暂单眼视力丧失 (TMVL). 激光外周 iridotomy 解决了视力损失和正常化眼内压力 (IOP).
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 暂时单眼视力丧失 (TMVL) 可能有各种不同的病因.
- 二次角度闭眼光眼 (SACG) 是视力障碍的重要原因之一.
研究的目的:
- 报告一个独特的TMVL病例,由Soemmering的戒指导致SACG.
- 强调对复发性,无痛的TMVL的诊断考虑.
主要方法:
- 一个72岁的男性患有复发性TMVL的案例介绍.
- 眼科检查包括眼内压力 (IOP) 测量,视镜和超声波生物显微镜 (UBM).
- 通过激光外围 iridotomy (LPI) 的治疗干预.
主要成果:
- 患者经历了无痛的间歇性TMVL发作.
- 观察到高的内压力 (40 mmHg) 和模糊的角度结构.
- 乌BM揭示了一个大型的索默林戒指.
- LPI成功降低了内压,并解决了TMVL发作.
结论:
- 索默林环可以导致间歇性SACG呈现为TMVL.
- 在TMVL的差异诊断中,应考虑间歇性内血压升高.
- 对于这种特定类型的二次绿内障,LPI是一种有效的治疗方法.
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