什(Shi)么(Me)是(Shi)青(Qing)光(Guang)眼(Yan)?
至(Zhi)今(Jin)为(Wei)止(Zhi)能(Neng)为(Wei)大(Da)多(Duo)数(Shu)眼(Yan)科(Ke)医(Yi)生(Sheng)接(Jie)受(Shou)的(De)青(Qing)光(Guang)眼(Yan)的(De)定(Ding)义(Yi)是(Shi):(?)青(Qing)光(Guang)眼(Yan)是(Shi)一(Yi)组(Zu)以(Yi)特(Te)征(Zheng)性(Xing)视(Shi)神(Shen)经(Jing)萎(Wei)缩(Suo)和(He)视(Shi)野(Ye)缺(Que)损(Sun)为(Wei)共(Gong)同(Tong)特(Te)征(Zheng)的(De)疾(Ji)病(Bing),(?)病(Bing)理(Li)性(Xing)眼(Yan)压(Ya)增(Zeng)高(Gao)是(Shi)其(Qi)主(Zhu)要(Yao)危(Wei)险(Xian)因(Yin)素(Su)之(Zhi)一(Yi)。(?)
眼(Yan)压(Ya)增(Zeng)高(Gao)的(De)水(Shui)平(Ping)和(He)视(Shi)神(Shen)经(Jing)对(Dui)压(Ya)力(Li)损(Sun)害(Hai)的(De)耐(Nai)受(Shou)性(Xing),(?)与(Yu)青(Qing)光(Guang)眼(Yan)视(Shi)神(Shen)经(Jing)萎(Wei)缩(Suo)和(He)视(Shi)野(Ye)缺(Que)损(Sun)的(De)发(Fa)生(Sheng)和(He)发(Fa)展(Zhan)有(You)关(Guan)。(?)眼(Yan)压(Ya)是(Shi)眼(Yan)球(Qiu)内(Nei)容(Rong)物(Wu)作(Zuo)用(Yong)于(Yu)眼(Yan)球(Qiu)内(Nei)壁(Bi)的(De)压(Ya)力(Li)。(?)从(Cong)临(Lin)床(Chuang)角(Jiao)度(Du)来(Lai)看(Kan),(?)眼(Yan)压(Ya)的(De)定(Ding)义(Yi)应(Ying)该(Gai)是(Shi)不(Bu)引(Yin)起(Qi)视(Shi)神(Shen)经(Jing)损(Sun)害(Hai)的(De)眼(Yan)压(Ya)水(Shui)平(Ping)。(?)但(Dan)由(You)于(Yu)视(Shi)神(Shen)经(Jing)对(Dui)眼(Yan)压(Ya)的(De)耐(Nai)受(Shou)性(Xing)有(You)很(Hen)大(Da)的(De)个(Ge)体(Ti)差(Cha)异(Yi),(?)因(Yin)此(Ci),(?)眼(Yan)压(Ya)不(Bu)能(Neng)以(Yi)某(Mou)一(Yi)数(Shu)值(Zhi)来(Lai)定(Ding)义(Yi)。(?)人(Ren)的(De)眼(Yan)压(Ya)平(Ping)均(Jun)值(Zhi)为(Wei)16mmHg(1mmHg为(Wei)0.133kPa)标(Biao)准(Zhun)差(Cha)为(Wei)3mmHg。(?)从(Cong)统(Tong)计(Ji)学(Xue)概(Gai)念(Nian)出(Chu)发(Fa),(?)通(Tong)常(Chang)将(Jiang)眼(Yan)压(Ya)定(Ding)义(Yi)在(Zai)10-21mmHg范(Fan)围(Wei)。(?)实(Shi)际(Ji)上(Shang),(?)人(Ren)眼(Yan)压(Ya)并(Bing)非(Fei)呈(Cheng)正(Zheng)态(Tai)分(Fen)布(Bu),(?)而(?)是(Shi)略(Lue)偏(Pian)右(You)侧(Ce)。(?)因(Yin)此(Ci),(?)不(Bu)能(Neng)机(Ji)械(Xie)地(Di)把(Ba)眼(Yan)压(Ya)高(Gao)于(Yu)21mmHg认(Ren)为(Wei)是(Shi)病(Bing)理(Li)值(Zhi)。(?)临(Lin)床(Chuang)上(Shang),(?)一(Yi)些(Xie)人(Ren)的(De)眼(Yan)压(Ya)虽(Sui)已(Yi)超(Chao)越(Yue)统(Tong)计(Ji)学(Xue)上(Shang)限(Xian),(?)但(Dan)长(Chang)期(Qi)随(Sui)访(Fang)并(Bing)不(Bu)出(Chu)现(Xian)视(Shi)神(Shen)经(Jing)萎(Wei)缩(Suo)和(He)视(Shi)野(Ye)缺(Que)损(Sun),(?)称(Cheng)为(Wei)高(Gao)眼(Yan)压(Ya)症(Zheng);而(?)有(You)些(Xie)人(Ren)的(De)眼(Yan)压(Ya)虽(Sui)然(Ran)在(Zai)范(Fan)围(Wei),(?)却(Que)发(Fa)生(Sheng)了(Liao)典(Dian)型(Xing)的(De)青(Qing)光(Guang)眼(Yan)视(Shi)神(Shen)经(Jing)萎(Wei)缩(Suo)和(He)视(Shi)野(Ye)缺(Que)损(Sun),(?)称(Cheng)为(Wei)眼(Yan)压(Ya)青(Qing)光(Guang)眼(Yan)。(?)这(Zhe)说(Shuo)明(Ming)高(Gao)眼(Yan)压(Ya)并(Bing)非(Fei)都(Du)是(Shi)青(Qing)光(Guang)眼(Yan),(?)而(?)眼(Yan)压(Ya)也(Ye)不(Bu)排(Pai)除(Chu)青(Qing)光(Guang)眼(Yan)。(?)
眼(Yan)压(Ya)的(De)高(Gao)低(Di)主(Zhu)要(Yao)取(Qu)决(Jue)于(Yu)房(Fang)水(Shui)循(Xun)环(Huan)中(Zhong)的(De)三(San)个(Ge)因(Yin)素(Su):(?)睫(Jie)状(Zhuang)突(Tu)生(Sheng)成(Cheng)房(Fang)水(Shui)的(De)速(Su)率(Lu)、(?)房(Fang)水(Shui)通(Tong)过(Guo)小(Xiao)梁(Liang)网(Wang)流(Liu)出(Chu)的(De)阻(Zu)力(Li)和(He)上(Shang)巩(Gong)膜(Mo)静(Jing)脉(Mai)压(Ya)。(?)如(Ru)果(Guo)房(Fang)水(Shui)生(Sheng)成(Cheng)量(Liang)不(Bu)变(Bian),(?)房(Fang)水(Shui)不(Bu)能(Neng)顺(Shun)利(Li)流(Liu)通(Tong),(?)眼(Yan)压(Ya)升(Sheng)高(Gao)。(?)大(Da)多(Duo)数(Shu)青(Qing)光(Guang)眼(Yan)眼(Yan)压(Ya)升(Sheng)高(Gao)的(De)原(Yuan)因(Yin)是(Shi)因(Yin)为(Wei)房(Fang)水(Shui)外(Wai)流(Liu)的(De)阻(Zu)力(Li)增(Zeng)高(Gao)。(?)青(Qing)光(Guang)眼(Yan)的(De)也(Ye)着(Zhuo)眼(Yan)于(Yu)采(Cai)用(Yong)各(Ge)种(Zhong)方(Fang)法(Fa),(?)使(Shi)房(Fang)水(Shui)生(Sheng)成(Cheng)量(Liang)和(He)排(Pai)出(Chu)量(Liang)重(Zhong)新(Xin)恢(Hui)复(Fu)平(Ping)衡(Heng),(?)以(Yi)达(Da)到(Dao)降(Jiang)低(Di)眼(Yan)压(Ya),(?)保(Bao)存(Cun)视(Shi)功(Gong)能(Neng)的(De)目(Mu)的(De)。(?)
关(Guan)于(Yu)青(Qing)光(Guang)眼(Yan)视(Shi)神(Shen)经(Jing)损(Sun)害(Hai)的(De)机(Ji)制(Zhi)主(Zhu)要(Yao)有(You)两(Liang)种(Zhong)学(Xue)说(Shuo),(?)即(Ji)机(Ji)械(Xie)学(Xue)说(Shuo)和(He)缺(Que)血(Xue)学(Xue)说(Shuo)。(?)机(Ji)械(Xie)学(Xue)说(Shuo)强(Qiang)调(Diao)视(Shi)神(Shen)经(Jing)纤(Xian)维(Wei)直(Zhi)接(Jie)受(Shou)压(Ya),(?)轴(Zhou)浆(Jiang)流(Liu)中(Zhong)断(Duan)的(De)作(Zuo)用(Yong);缺(Que)血(Xue)学(Xue)说(Shuo)则(Ze)强(Qiang)调(Diao)视(Shi)神(Shen)经(Jing)供(Gong)血(Xue)不(Bu)足(Zu),(?)对(Dui)眼(Yan)压(Ya)耐(Nai)受(Shou)性(Xing)降(Jiang)低(Di)的(De)作(Zuo)用(Yong)。(?)目(Mu)前(Qian)一(Yi)般(Ban)认(Ren)为(Wei),(?)青(Qing)光(Guang)眼(Yan)视(Shi)神(Shen)经(Jing)损(Sun)害(Hai)很(Hen)可(Ke)能(Neng)为(Wei)机(Ji)械(Xie)压(Ya)迫(Po)和(He)缺(Que)血(Xue)的(De)联(Lian)合(He)作(Zuo)用(Yong)。(?)眼(Yan)压(Ya)升(Sheng)高(Gao)时(Shi)公(Gong)认(Ren)的(De)青(Qing)光(Guang)眼(Yan)的(De)主(Zhu)要(Yao)危(Wei)险(Xian)因(Yin)素(Su),(?)其(Qi)他(Ta)引(Yin)起(Qi)视(Shi)神(Shen)经(Jing)供(Gong)血(Xue)不(Bu)足(Zu)的(De)任(Ren)何(He)情(Qing)况(Kuang),(?)如(Ru)心(Xin)血(Xue)管(Guan)疾(Ji)病(Bing)、(?)糖(Tang)尿(Niao)病(Bing)、(?)血(Xue)液(Ye)流(Liu)变(Bian)学(Xue)异(Yi)常(Chang)等(Deng),(?)也(Ye)都(Du)可(Ke)能(Neng)是(Shi)青(Qing)光(Guang)眼(Yan)的(De)危(Wei)险(Xian)因(Yin)素(Su)。(?)因(Yin)此(Ci),(?)对(Dui)青(Qing)光(Guang)眼(Yan)的(De),(?)应(Ying)该(Gai)在(Zai)降(Jiang)低(Di)眼(Yan)压(Ya)的(De)同(Tong)时(Shi),(?)改(Gai)善(Shan)视(Shi)神(Shen)经(Jing)的(De)血(Xue)液(Ye)供(Gong)应(Ying),(?)进(Jin)行(Xing)神(Shen)经(Jing)保(Bao)护(Hu)性(Xing)。(?)
根(Gen)据(Ju)前(Qian)房(Fang)角(Jiao)形(Xing)态(Tai)(开(Kai)角(Jiao)或(Huo)闭(Bi)角(Jiao))、(?)病(Bing)因(Yin)机(Ji)制(Zhi)(明(Ming)确(Que)或(Huo)不(Bu)明(Ming)确(Que))及(Ji)发(Fa)病(Bing)年(Nian)龄(Ling)3个(Ge)主(Zhu)要(Yao)因(Yin)素(Su),(?)一(Yi)般(Ban)将(Jiang)青(Qing)光(Guang)眼(Yan)分(Fen)为(Wei)原(Yuan)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)、(?)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)和(He)先(Xian)天(Tian)性(Xing)青(Qing)光(Guang)眼(Yan)3大(Da)类(Lei)。(?)原(Yuan)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)又(You)有(You)闭(Bi)角(Jiao)型(Xing)和(He)开(Kai)角(Jiao)型(Xing)两(Liang)种(Zhong)。(?)
青(Qing)光(Guang)眼(Yan)的(De)早(Zao)期(Qi)症(Zheng)状(Zhuang)
一(Yi)、(?)原(Yuan)发(Fa)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)
原(Yuan)发(Fa)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)是(Shi)由(You)于(Yu)周(Zhou)边(Bian)虹(Hong)膜(Mo)堵(Du)塞(Sai)小(Xiao)梁(Liang)网(Wang),(?)或(Huo)与(Yu)小(Xiao)梁(Liang)网(Wang)产(Chan)生(Sheng)粘(Zhan)连(Lian),(?)房(Fang)水(Shui)外(Wai)流(Liu)受(Shou)阻(Zu),(?)引(Yin)起(Qi)眼(Yan)压(Ya)升(Sheng)高(Gao)的(De)一(Yi)类(Lei)青(Qing)光(Guang)眼(Yan)。(?)患(Huan)眼(Yan)具(Ju)有(You)房(Fang)角(Jiao)狭(Xia)窄(Zhai),(?)周(Zhou)边(Bian)虹(Hong)膜(Mo)容(Rong)易(Yi)与(Yu)小(Xiao)梁(Liang)网(Wang)接(Jie)触(Chu)的(De)解(Jie)剖(Pou)特(Te)性(Xing)。(?)根(Gen)据(Ju)眼(Yan)压(Ya)升(Sheng)高(Gao)时(Shi)骤(Zhou)然(Ran)发(Fa)生(Sheng)还(Huan)是(Shi)逐(Zhu)渐(Jian)发(Fa)展(Zhan),(?)又(You)分(Fen)为(Wei)急(Ji)性(Xing)和(He)慢(Man)性(Xing)两(Liang)大(Da)类(Lei)。(?)
病(Bing)因(Yin)
病(Bing)因(Yin)尚(Shang)未(Wei)充(Chong)分(Fen)阐(Chan)明(Ming)。(?)眼(Yan)球(Qiu)局(Ju)部(Bu)的(De)解(Jie)剖(Pou)结(Jie)构(Gou)变(Bian)异(Yi)被(Bei)公(Gong)认(Ren)为(Wei)是(Shi)主(Zhu)要(Yao)发(Fa)病(Bing)因(Yin)素(Su)。(?)
1)急(Ji)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)症(Zheng)状(Zhuang)
临(Lin)床(Chuang)前(Qian)期(Qi)
急(Ji)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)为(Wei)双(Shuang)侧(Ce)性(Xing),(?)当(Dang)一(Yi)眼(Yan)急(Ji)性(Xing)发(Fa)作(Zuo)确(Que)诊(Zhen),(?)另(Ling)一(Yi)眼(Yan)即(Ji)使(Shi)没(Mei)有(You)任(Ren)何(He)症(Zheng)状(Zhuang)也(Ye)可(Ke)以(Yi)诊(Zhen)断(Duan)为(Wei)临(Lin)床(Chuang)前(Qian)期(Qi)。(?)另(Ling)外(Wai),(?)有(You)些(Xie)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)在(Zai)急(Ji)性(Xing)发(Fa)作(Zuo)以(Yi)前(Qian),(?)可(Ke)以(Yi)没(Mei)有(You)自(Zi)觉(Jue)症(Zheng)状(Zhuang),(?)但(Dan)觉(Jue)有(You)前(Qian)房(Fang)浅(Qian)、(?)虹(Hong)膜(Mo)膨(Peng)隆(Long)、(?)房(Fang)角(Jiao)狭(Xia)窄(Zhai)等(Deng)表(Biao)现(Xian),(?)在(Zai)一(Yi)定(Ding)诱(You)因(Yin)下(Xia),(?)如(Ru)暗(An)室(Shi)试(Shi)验(Yan)后(Hou)眼(Yan)压(Ya)明(Ming)显(Xian)升(Sheng)高(Gao),(?)也(Ye)可(Ke)诊(Zhen)断(Duan)为(Wei)本(Ben)病(Bing)的(De)临(Lin)床(Chuang)前(Qian)期(Qi)。(?)
先(Xian)兆(Zhao)期(Qi)
表(Biao)现(Xian)为(Wei)一(Yi)时(Shi)性(Xing)或(Huo)反(Fan)复(Fu)多(Duo)次(Ci)的(De)小(Xiao)发(Fa)作(Zuo)。(?)发(Fa)作(Zuo)多(Duo)出(Chu)现(Xian)在(Zai)傍(Bang)晚(Wan)时(Shi)分(Fen),(?)突(Tu)感(Gan)雾(Wu)视(Shi)、(?)虹(Hong)视(Shi),(?)可(Ke)能(Neng)有(You)患(Huan)侧(Ce)额(E)部(Bu)疼(Teng)痛(Tong),(?)或(Huo)伴(Ban)同(Tong)侧(Ce)鼻(Bi)根(Gen)部(Bu)酸(Suan)胀(Zhang)。(?)上(Shang)述(Shu)症(Zheng)状(Zhuang)历(Li)时(Shi)短(Duan)暂(Zan),(?)休(Xiu)息(Xi)后(Hou)自(Zi)行(Xing)缓(Huan)解(Jie)或(Huo)消(Xiao)失(Shi)。(?)若(Ruo)即(Ji)刻(Ke)检(Jian)查(Cha),(?)可(Ke)发(Fa)现(Xian)眼(Yan)压(Ya)升(Sheng)高(Gao),(?)常(Chang)在(Zai)40mmHg以(Yi)上(Shang),(?)眼(Yan)局(Ju)部(Bu)轻(Qing)度(Du)充(Chong)血(Xue)或(Huo)不(Bu)充(Chong)血(Xue),(?)角(Jiao)膜(Mo)上(Shang)皮(Pi)呈(Cheng)轻(Qing)度(Du)雾(Wu)状(Zhuang)水(Shui)肿(Zhong),(?)前(Qian)房(Fang)极(Ji)浅(Qian),(?)但(Dan)房(Fang)水(Shui)无(Wu)混(Hun)浊(Zhuo)。(?)房(Fang)角(Jiao)大(Da)范(Fan)围(Wei)关(Guan)闭(Bi);瞳(Tong)孔(Kong)稍(Shao)扩(Kuo)大(Da),(?)光(Guang)反(Fan)射(She)迟(Chi)钝(Dun)。(?)
急(Ji)性(Xing)发(Fa)作(Zuo)期(Qi)
表(Biao)现(Xian)为(Wei)剧(Ju)烈(Lie)头(Tou)痛(Tong)、(?)眼(Yan)痛(Tong)、(?)畏(Wei)光(Guang)、(?)流(Liu)泪(Lei),(?)视(Shi)力(Li)严(Yan)重(Zhong)减(Jian)退(Tui),(?)可(Ke)伴(Ban)有(You)恶(E)心(Xin)、(?)呕(Ou)吐(Tu)等(Deng)全(Quan)身(Shen)症(Zheng)状(Zhuang)。(?)特(Te)征(Zheng)有(You)眼(Yan)脸(Lian)水(Shui)肿(Zhong),(?)混(Hun)合(He)性(Xing)充(Chong)血(Xue),(?)角(Jiao)膜(Mo)上(Shang)皮(Pi)水(Shui)肿(Zhong),(?)裂(Lie)隙(Xi)灯(Deng)下(Xia)上(Shang)皮(Pi)呈(Cheng)小(Xiao)水(Shui)珠(Zhu)状(Zhuang),(?)角(Jiao)膜(Mo)后(Hou)色(Se)素(Su)沉(Chen)着(Zhuo),(?)前(Qian)房(Fang)浅(Qian),(?)周(Zhou)边(Bian)前(Qian)房(Fang)几(Ji)乎(Hu)消(Xiao)失(Shi)。(?)如(Ru)果(Guo)虹(Hong)膜(Mo)有(You)严(Yan)重(Zhong)缺(Que)血(Xue)坏(Huai)死(Si),(?)房(Fang)水(Shui)可(Ke)有(You)混(Hun)浊(Zhuo),(?)甚(Shen)至(Zhi)出(Chu)现(Xian)絮(Xu)状(Zhuang)渗(Shen)出(Chu)物(Wu)。(?)瞳(Tong)孔(Kong)中(Zhong)等(Deng)散(San)大(Da),(?)常(Chang)呈(Cheng)竖(Shu)椭(Tuo)圆(Yuan)形(Xing),(?)光(Guang)反(Fan)射(She)消(Xiao)失(Shi),(?)有(You)时(Shi)可(Ke)见(Jian)局(Ju)部(Bu)性(Xing)后(Hou)粘(Zhan)连(Lian)。(?)房(Fang)角(Jiao)关(Guan)闭(Bi),(?)常(Chang)有(You)较(Jiao)多(Duo)色(Se)素(Su)沉(Chen)着(Zhuo)。(?)眼(Yan)压(Ya)常(Chang)在(Zai)50mmHg以(Yi)上(Shang)。(?)眼(Yan)底(Di)可(Ke)见(Jian)视(Shi)网(Wang)膜(Mo)动(Dong)脉(Mai)搏(Bo)动(Dong)、(?)视(Shi)盘(Pan)水(Shui)肿(Zhong)或(Huo)视(Shi)网(Wang)膜(Mo)血(Xue)管(Guan)阻(Zu)塞(Sai)。(?)但(Dan)因(Yin)角(Jiao)膜(Mo)水(Shui)肿(Zhong),(?)眼(Yan)底(Di)多(Duo)看(Kan)不(Bu)清(Qing)。(?)高(Gao)眼(Yan)压(Ya)缓(Huan)解(Jie)后(Hou),(?)症(Zheng)状(Zhuang)减(Jian)轻(Qing)或(Huo)消(Xiao)失(Shi),(?)视(Shi)力(Li)好(Hao)转(Zhuan),(?)眼(Yan)前(Qian)段(Duan)常(Chang)留(Liu)下(Xia)组(Zu)织(Zhi)损(Sun)伤(Shang),(?)如(Ru)角(Jiao)膜(Mo)后(Hou)色(Se)素(Su)沉(Chen)着(Zhuo)、(?)扇(Shan)形(Xing)虹(Hong)膜(Mo)萎(Wei)缩(Suo)、(?)色(Se)素(Su)脱(Tuo)失(Shi)、(?)局(Ju)部(Bu)性(Xing)后(Hou)粘(Zhan)连(Lian)等(Deng),(?)瞳(Tong)孔(Kong)无(Wu)法(Fa)恢(Hui)复(Fu)形(Xing)态(Tai)和(He)大(Da)小(Xiao),(?)房(Fang)角(Jiao)有(You)广(Guang)泛(Fan)性(Xing)粘(Zhan)连(Lian)。(?)晶(Jing)状(Zhuang)体(Ti)前(Qian)囊(Nang)下(Xia)有(You)时(Shi)可(Ke)见(Jian)小(Xiao)片(Pian)状(Zhuang)白(Bai)色(Se)浑(Hun)浊(Zhuo),(?)称(Cheng)为(Wei)青(Qing)光(Guang)眼(Yan)斑(Ban)。(?)临(Lin)床(Chuang)上(Shang)凡(Fan)见(Jian)到(Dao)上(Shang)述(Shu)改(Gai)变(Bian),(?)表(Biao)明(Ming)曾(Zeng)有(You)过(Guo)急(Ji)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)大(Da)发(Fa)作(Zuo)。(?)
间(Jian)歇(Xie)期(Qi)
小(Xiao)发(Fa)作(Zuo)后(Hou)自(Zi)行(Xing)缓(Huan)解(Jie),(?)小(Xiao)梁(Liang)网(Wang)尚(Shang)未(Wei)遭(Zao)受(Shou)严(Yan)重(Zhong)损(Sun)害(Hai),(?)间(Jian)歇(Xie)期(Qi)的(De)主(Zhu)要(Yao)诊(Zhen)断(Duan)标(Biao)准(Zhun)是(Shi):(?)
有(You)明(Ming)确(Que)的(De)小(Xiao)发(Fa)作(Zuo)史(Shi)
房(Fang)角(Jiao)开(Kai)放(Fang)或(Huo)部(Bu)分(Fen)开(Kai)放(Fang)
在(Zai)不(Bu)用(Yong)药(Yao)或(Huo)单(Dan)用(Yong)少(Shao)量(Liang)缩(Suo)瞳(Tong)剂(Ji)时(Shi),(?)眼(Yan)压(Ya)即(Ji)能(Neng)稳(Wen)定(Ding)在(Zai)水(Shui)平(Ping)。(?)从(Cong)理(Li)论(Lun)上(Shang)讲(Jiang),(?)急(Ji)性(Xing)大(Da)发(Fa)作(Zuo)经(Jing)过(Guo)积(Ji)极(Ji)后(Hou),(?)也(Ye)可(Ke)以(Yi)进(Jin)入(Ru)间(Jian)歇(Xie)期(Qi),(?)但(Dan)实(Shi)际(Ji)上(Shang)由(You)于(Yu)房(Fang)角(Jiao)广(Guang)泛(Fan)粘(Zhan)连(Lian),(?)这(Zhe)种(Zhong)可(Ke)能(Neng)性(Xing)很(Hen)小(Xiao)。(?)
慢(Man)性(Xing)期(Qi)
急(Ji)性(Xing)大(Da)发(Fa)作(Zuo)或(Huo)反(Fan)复(Fu)小(Xiao)发(Fa)作(Zuo)后(Hou),(?)房(Fang)角(Jiao)广(Guang)泛(Fan)粘(Zhan)连(Lian)(通(Tong)常(Chang)大(Da)于(Yu)180°),(?)小(Xiao)梁(Liang)网(Wang)功(Gong)能(Neng)已(Yi)遭(Zao)受(Shou)严(Yan)重(Zhong)损(Sun)害(Hai),(?)眼(Yan)压(Ya)中(Zhong)度(Du)升(Sheng)高(Gao),(?)眼(Yan)底(Di)常(Chang)可(Ke)见(Jian)青(Qing)光(Guang)眼(Yan)性(Xing)视(Shi)盘(Pan)凹(Ao)陷(Xian),(?)并(Bing)有(You)相(Xiang)应(Ying)视(Shi)野(Ye)缺(Que)损(Sun)。(?)
**期(Qi)
指(Zhi)眼(Yan)压(Ya)持(Chi)续(Xu)过(Guo)久(Jiu),(?)眼(Yan)组(Zu)织(Zhi),(?)特(Te)别(Bie)是(Shi)视(Shi)神(Shen)经(Jing)已(Yi)遭(Zao)受(Shou)严(Yan)重(Zhong)破(Po)坏(Huai),(?)视(Shi)力(Li)已(Yi)降(Jiang)至(Zhi)无(Wu)光(Guang)感(Gan)且(Qie)无(Wu)法(Fa)挽(Wan)救(Jiu)的(De)晚(Wan)期(Qi)病(Bing)例(Li),(?)偶(Ou)尔(?)可(Ke)因(Yin)眼(Yan)压(Ya)过(Guo)高(Gao)或(Huo)角(Jiao)膜(Mo)变(Bian)性(Xing)而(?)剧(Ju)烈(Lie)疼(Teng)痛(Tong)。(?)
2)慢(Man)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)症(Zheng)状(Zhuang)
由(You)于(Yu)房(Fang)角(Jiao)粘(Zhan)连(Lian)和(He)眼(Yan)压(Ya)升(Sheng)高(Gao)都(Du)是(Shi)逐(Zhu)渐(Jian)进(Jin)展(Zhan)的(De),(?)所(Suo)以(Yi)没(Mei)有(You)眼(Yan)压(Ya)急(Ji)剧(Ju)升(Sheng)高(Gao)的(De)相(Xiang)应(Ying)症(Zheng)状(Zhuang)。(?)眼(Yan)前(Qian)段(Duan)组(Zu)织(Zhi)液(Ye)没(Mei)有(You)明(Ming)显(Xian)异(Yi)常(Chang),(?)不(Bu)易(Yi)引(Yin)起(Qi)患(Huan)者(Zhe)的(De)警(Jing)觉(Jue),(?)而(?)视(Shi)盘(Pan)则(Ze)在(Zai)高(Gao)眼(Yan)压(Ya)的(De)持(Chi)续(Xu)作(Zuo)用(Yong)下(Xia),(?)逐(Zhu)渐(Jian)萎(Wei)缩(Suo),(?)形(Xing)成(Cheng)凹(Ao)陷(Xian),(?)视(Shi)野(Ye)也(Ye)随(Sui)之(Zhi)发(Fa)生(Sheng)进(Jin)行(Xing)性(Xing)损(Sun)害(Hai)。(?)
原(Yuan)发(Fa)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)
急(Ji)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)基(Ji)本(Ben)原(Yuan)则(Ze)是(Shi)手(Shou)术(Shu)。(?)术(Shu)前(Qian)应(Ying)积(Ji)极(Ji)采(Cai)用(Yong)综(Zong)合(He)药(Yao)物(Wu)缩(Suo)小(Xiao)瞳(Tong)孔(Kong),(?)是(Shi)房(Fang)角(Jiao)开(Kai)放(Fang),(?)迅(Xun)速(Su)控(Kong)制(Zhi)眼(Yan)压(Ya),(?)减(Jian)少(Shao)组(Zu)织(Zhi)损(Sun)害(Hai)。(?)在(Zai)眼(Yan)压(Ya)降(Jiang)低(Di),(?)炎(Yan)性(Xing)反(Fan)应(Ying)控(Kong)制(Zhi)后(Hou),(?)手(Shou)术(Shu)效(Xiao)果(Guo)较(Jiao)好(Hao)。(?)
慢(Man)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)原(Yuan)则(Ze)也(Ye)是(Shi)药(Yao)物(Wu)控(Kong)制(Zhi)眼(Yan)压(Ya)后(Hou)手(Shou)术(Shu)。(?)考(Kao)虑(Lu)瞳(Tong)孔(Kong)阻(Zu)滞(Zhi)因(Yin)素(Su),(?)可(Ke)以(Yi)进(Jin)行(Xing)激(Ji)光(Guang)周(Zhou)边(Bian)虹(Hong)膜(Mo)根(Gen)切(Qie)术(Shu)。(?)激(Ji)光(Guang)周(Zhou)面(Mian)虹(Hong)膜(Mo)根(Gen)切(Qie)术(Shu)对(Dui)防(Fang)止(Zhi)长(Chang)期(Qi)滴(Di)用(Yong)毛(Mao)果(Guo)芸(Yun)香(Xiang)碱(Jian)可(Ke)能(Neng)引(Yin)起(Qi)的(De)瞳(Tong)孔(Kong)阻(Zu)滞(Zhi)有(You)帮(Bang)助(Zhu),(?)在(Zai)一(Yi)定(Ding)程(Cheng)度(Du)上(Shang)可(Ke)以(Yi)防(Fang)止(Zhi)或(Huo)减(Jian)慢(Man)房(Fang)角(Jiao)的(De)进(Jin)一(Yi)步(Bu)粘(Zhan)连(Lian),(?)因(Yin)此(Ci),(?)可(Ke)用(Yong)于(Yu)房(Fang)角(Jiao)粘(Zhan)连(Lian)范(Fan)围(Wei)不(Bu)大(Da),(?)单(Dan)用(Yong)缩(Suo)瞳(Tong)剂(Ji)即(Ji)能(Neng)控(Kong)制(Zhi)眼(Yan)压(Ya)的(De)早(Zao)期(Qi)病(Bing)例(Li)。(?)氩(Ya)激(Ji)光(Guang)房(Fang)角(Jiao)成(Cheng)形(Xing)术(Shu)有(You)利(Li)于(Yu)加(Jia)宽(Kuan)房(Fang)角(Jiao),(?)也(Ye)可(Ke)采(Cai)用(Yong)。(?)对(Dui)大(Da)部(Bu)分(Fen)房(Fang)角(Jiao)已(Yi)有(You)广(Guang)泛(Fan)粘(Zhan)连(Lian),(?)单(Dan)用(Yong)缩(Suo)瞳(Tong)剂(Ji)不(Bu)能(Neng)控(Kong)制(Zhi)眼(Yan)压(Ya),(?)或(Huo)已(Yi)有(You)明(Ming)显(Xian)视(Shi)神(Shen)经(Jing)损(Sun)害(Hai)。(?)
二(?)、(?)原(Yuan)发(Fa)性(Xing)开(Kai)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)
原(Yuan)发(Fa)性(Xing)开(Kai)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)又(You)名(Ming)慢(Man)性(Xing)单(Dan)纯(Chun)性(Xing)青(Qing)光(Guang)眼(Yan),(?)是(Shi)以(Yi)眼(Yan)压(Ya)升(Sheng)高(Gao)为(Wei)基(Ji)本(Ben)特(Te)征(Zheng),(?)进(Jin)而(?)引(Yin)起(Qi)视(Shi)神(Shen)经(Jing)萎(Wei)缩(Suo)和(He)视(Shi)野(Ye)缺(Que)损(Sun),(?)早(Zao)导(Dao)致(Zhi)致(Zhi)盲(Mang)的(De)慢(Man)性(Xing)进(Jin)行(Xing)性(Xing)眼(Yan)病(Bing)。(?)原(Yuan)发(Fa)性(Xing)开(Kai)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)房(Fang)角(Jiao),(?)大(Da)多(Duo)数(Shu)是(Shi)宽(Kuan)角(Jiao),(?)少(Shao)数(Shu)为(Wei)窄(Zhai)角(Jiao),(?)甚(Shen)至(Zhi)在(Zai)眼(Yan)压(Ya)升(Sheng)高(Gao)时(Shi),(?)房(Fang)角(Jiao)也(Ye)是(Shi)开(Kai)放(Fang)的(De),(?)故(Gu)因(Yin)此(Ci)而(?)得(De)名(Ming)。(?)
病(Bing)因(Yin)
病(Bing)因(Yin)尚(Shang)不(Bu)清(Qing)楚(Chu),(?)可(Ke)能(Neng)与(Yu)遗(Yi)传(Chuan)等(Deng)有(You)关(Guan)。(?)其(Qi)特(Te)点(Dian)是(Shi)眼(Yan)压(Ya)虽(Sui)然(Ran)升(Sheng)高(Gao),(?)房(Fang)角(Jiao)始(Shi)终(Zhong)开(Kai)放(Fang),(?)即(Ji)房(Fang)水(Shui)外(Wai)流(Liu)受(Shou)阻(Zu)于(Yu)小(Xiao)梁(Liang)网(Wang)-Schlemm管(Guan)系(Xi)统(Tong)。(?)组(Zu)织(Zhi)学(Xue)检(Jian)查(Cha)发(Fa)现(Xian)的(De)病(Bing)理(Li)改(Gai)变(Bian)有(You):(?)小(Xiao)梁(Liang)网(Wang)胶(Jiao)原(Yuan)纤(Xian)维(Wei)和(He)弹(Dan)性(Xing)纤(Xian)维(Wei)变(Bian)性(Xing),(?)内(Nei)皮(Pi)细(Xi)胞(Bao)脱(Tuo)落(Luo)或(Huo)增(Zeng)生(Sheng),(?)小(Xiao)梁(Liang)网(Wang)增(Zeng)厚(Hou),(?)网(Wang)眼(Yan)变(Bian)窄(Zhai)或(Huo)闭(Bi)塞(Sai),(?)Schlemm管(Guan)内(Nei)壁(Bi)下(Xia)的(De)近(Jin)小(Xiao)官(Guan)结(Jie)缔(Di)组(Zu)织(Zhi)内(Nei)有(You)斑(Ban)状(Zhuang)物(Wu)质(Zhi)沉(Chen)着(Zhuo),(?)Schlemm管(Guan)壁(Bi)内(Nei)皮(Pi)细(Xi)胞(Bao)的(De)空(Kong)泡(Pao)减(Jian)少(Shao)等(Deng)。(?)
原(Yuan)发(Fa)性(Xing)开(Kai)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)症(Zheng)状(Zhuang)
1、(?)发(Fa)病(Bing)症(Zheng)状(Zhuang)隐(Yin)匿(Ni),(?)除(Chu)少(Shao)数(Shu)病(Bing)人(Ren)在(Zai)眼(Yan)压(Ya)升(Sheng)高(Gao)时(Shi)出(Chu)现(Xian)雾(Wu)视(Shi)、(?)眼(Yan)胀(Zhang)外(Wai),(?)多(Duo)数(Shu)病(Bing)人(Ren)无(Wu)任(Ren)何(He)自(Zi)觉(Jue)症(Zheng)状(Zhuang),(?)常(Chang)常(Chang)直(Zhi)到(Dao)晚(Wan)期(Qi),(?)视(Shi)功(Gong)能(Neng)遭(Zao)受(Shou)严(Yan)重(Zhong)损(Sun)害(Hai)时(Shi)才(Cai)发(Fa)觉(Jue)。(?)
2、(?)眼(Yan)压(Ya)早(Zao)期(Qi)表(Biao)现(Xian)为(Wei)不(Bu)稳(Wen)定(Ding)性(Xing),(?)有(You)时(Shi)可(Ke)在(Zai)范(Fan)围(Wei)。(?)
3、(?)眼(Yan)前(Qian)段(Duan)前(Qian)房(Fang)深(Shen)浅(Qian)或(Huo)较(Jiao)深(Shen),(?)虹(Hong)膜(Mo)平(Ping)坦(Tan),(?)房(Fang)角(Jiao)开(Kai)放(Fang)
4、(?)眼(Yan)底(Di)视(Shi)盘(Pan)改(Gai)变(Bian)
5、(?)视(Shi)野(Ye)缺(Que)损(Sun)
原(Yuan)发(Fa)性(Xing)开(Kai)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)
药(Yao)物(Wu)
若(Ruo)局(Ju)部(Bu)滴(Di)用(Yong)1~2种(Zhong)药(Yao)物(Wu)使(Shi)眼(Yan)压(Ya)控(Kong)制(Zhi)在(Zai)安(An)心(Xin)水(Shui)平(Ping),(?)患(Huan)者(Zhe)能(Neng)配(Pei)合(He)并(Bing)定(Ding)期(Qi)复(Fu)查(Cha),(?)则(Ze)可(Ke)先(Xian)使(Shi)用(Yong)药(Yao)物(Wu)
激(Ji)光(Guang)
如(Ru)药(Yao)物(Wu)不(Bu)理(Li)想(Xiang),(?)可(Ke)试(Shi)用(Yong)氩(Ya)激(Ji)光(Guang)小(Xiao)梁(Liang)成(Cheng)形(Xing)术(Shu)
滤(Lu)过(Guo)性(Xing)手(Shou)术(Shu)
小(Xiao)梁(Liang)切(Qie)除(Chu)术(Shu)是(Shi)常(Chang)用(Yong)的(De)术(Shu)式(Shi)。(?)近(Jin)年(Nian)有(You)人(Ren)用(Yong)非(Fei)穿(Chuan)透(Tou)性(Xing)小(Xiao)梁(Liang)切(Qie)除(Chu)术(Shu),(?)其(Qi)术(Shu)后(Hou)并(Bing)发(Fa)症(Zheng)较(Jiao)少(Shao),(?)但(Dan)远(Yuan)期(Qi)仍(Reng)在(Zai)观(Guan)察(Cha)之(Zhi)中(Zhong)。(?)
三(San)、(?)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)
继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)是(Shi)由(You)于(Yu)某(Mou)些(Xie)眼(Yan)病(Bing)或(Huo)全(Quan)身(Shen)疾(Ji)病(Bing),(?)干(Gan)扰(Rao)或(Huo)破(Po)坏(Huai)了(Liao)的(De)房(Fang)水(Shui)循(Xun)环(Huan),(?)是(Shi)房(Fang)水(Shui)出(Chu)路(Lu)受(Shou)阻(Zu)而(?)引(Yin)起(Qi)眼(Yan)压(Ya)增(Zeng)高(Gao)的(De)一(Yi)组(Zu)青(Qing)光(Guang)眼(Yan)。(?)其(Qi)病(Bing)因(Yin)比(Bi)较(Jiao)明(Ming)确(Que)。(?)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)多(Duo)累(Lei)及(Ji)单(Dan)眼(Yan),(?)一(Yi)般(Ban)无(Wu)家(Jia)族(Zu)性(Xing)。(?)根(Gen)据(Ju)在(Zai)高(Gao)眼(Yan)压(Ya)状(Zhuang)态(Tai)下(Xia)房(Fang)角(Jiao)开(Kai)放(Fang)或(Huo)关(Guan)闭(Bi),(?)也(Ye)分(Fen)为(Wei)开(Kai)角(Jiao)型(Xing)和(He)闭(Bi)角(Jiao)型(Xing)两(Liang)大(Da)类(Lei)。(?)鉴(Jian)于(Yu)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)除(Chu)了(Liao)眼(Yan)压(Ya)增(Zeng)高(Gao)这(Zhe)一(Yi)危(Wei)险(Xian)因(Yin)素(Su)外(Wai),(?)还(Huan)有(You)较(Jiao)为(Wei)严(Yan)重(Zhong)的(De)原(Yuan)发(Fa)病(Bing)存(Cun)在(Zai),(?)后(Hou)者(Zhe)常(Chang)使(Shi)眼(Yan)组(Zu)织(Zhi)遭(Zao)受(Shou)破(Po)坏(Huai),(?)在(Zai)诊(Zhen)断(Duan)和(He)上(Shang)比(Bi)原(Yuan)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)更(Geng)为(Wei)复(Fu)杂(Za),(?)预(Yu)后(Hou)性(Xing)也(Ye)较(Jiao)差(Cha)。(?)
继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)的(De)症(Zheng)状(Zhuang)
继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)根(Gen)据(Ju)原(Yuan)发(Fa)病(Bing)的(De)不(Bu)同(Tong)呈(Cheng)现(Xian)不(Bu)同(Tong)的(De)症(Zheng)状(Zhuang),(?)其(Qi)临(Lin)床(Chuang)表(Biao)现(Xian)和(He)主(Zhu)要(Yao)有(You)以(Yi)下(Xia)几(Ji)种(Zhong):(?)
青(Qing)光(Guang)眼(Yan)睫(Jie)状(Zhuang)体(Ti)炎(Yan)综(Zong)合(He)症(Zheng)
我(Wo)国(Guo)常(Chang)见(Jian),(?)多(Duo)发(Fa)于(Yu)中(Zhong)年(Nian)男(Nan)性(Xing)。(?)典(Dian)型(Xing)病(Bing)例(Li)呈(Cheng)发(Fa)作(Zuo)性(Xing)眼(Yan)压(Ya)升(Sheng)高(Gao),(?)可(Ke)达(Da)50mmHg以(Yi)上(Shang),(?)在(Zai)眼(Yan)压(Ya)升(Sheng)高(Gao)的(De)同(Tong)时(Shi)或(Huo)前(Qian)后(Hou),(?)出(Chu)现(Xian)羊(Yang)脂(Zhi)状(Zhuang)沉(Chen)淀(Dian),(?)前(Qian)房(Fang)深(Shen),(?)房(Fang)角(Jiao)开(Kai)放(Fang),(?)房(Fang)水(Shui)无(Wu)明(Ming)显(Xian)混(Hun)浊(Zhuo),(?)不(Bu)引(Yin)起(Qi)瞳(Tong)孔(Kong)后(Hou)粘(Zhan)连(Lian),(?)一(Yi)般(Ban)数(Shu)天(Tian)内(Nei)能(Neng)自(Zi)行(Xing)缓(Huan)解(Jie)。(?)
糖(Tang)皮(Pi)质(Zhi)激(Ji)素(Su)性(Xing)青(Qing)光(Guang)眼(Yan)
长(Chang)期(Qi)滴(Di)用(Yong)或(Huo)全(Quan)身(Shen)应(Ying)用(Yong)糖(Tang)皮(Pi)质(Zhi)激(Ji)素(Su),(?)可(Ke)以(Yi)引(Yin)起(Qi)眼(Yan)压(Ya)升(Sheng)高(Gao)。(?)眼(Yan)压(Ya)升(Sheng)高(Gao)的(De)程(Cheng)度(Du)与(Yu)滴(Di)药(Yao)浓(Nong)度(Du)、(?)频(Pin)度(Du)以(Yi)及(Ji)持(Chi)续(Xu)用(Yong)药(Yao)时(Shi)间(Jian)有(You)关(Guan)。(?)临(Lin)床(Chuang)表(Biao)现(Xian)为(Wei)原(Yuan)发(Fa)性(Xing)开(Kai)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)相(Xiang)似(Si)。(?)此(Ci)病(Bing)在(Zai)很(Hen)大(Da)成(Cheng)都(Du)上(Shang)需(Xu)依(Yi)靠(Kao)药(Yao)史(Shi)来(Lai)确(Que)诊(Zhen)。(?)多(Duo)数(Shu)病(Bing)例(Li)停(Ting)药(Yao)后(Hou)眼(Yan)压(Ya)可(Ke)逐(Zhu)渐(Jian)恢(Hui)复(Fu)。(?)
眼(Yan)外(Wai)伤(Shang)所(Suo)致(Zhi)的(De)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)
眼(Yan)球(Qiu)钝(Dun)挫(Cuo)伤(Shang)后(Hou),(?)短(Duan)期(Qi)内(Nei)发(Fa)生(Sheng)的(De)急(Ji)性(Xing)眼(Yan)压(Ya)升(Sheng)高(Gao),(?)常(Chang)和(He)大(Da)量(Liang)前(Qian)房(Fang)出(Chu)血(Xue)或(Huo)小(Xiao)梁(Liang)网(Wang)直(Zhi)接(Jie)损(Sun)伤(Shang)有(You)关(Guan)。(?)由(You)于(Yu)红(Hong)细(Xi)胞(Bao)堆(Dui)积(Ji)在(Zai)小(Xiao)梁(Liang)网(Wang)上(Shang),(?)或(Huo)同(Tong)时(Shi)伴(Ban)有(You)血(Xue)凝(Ning)块(Kuai)阻(Zu)滞(Zhi)瞳(Tong)孔(Kong),(?)以(Yi)及(Ji)小(Xiao)梁(Liang)网(Wang)损(Sun)伤(Shang)后(Hou)炎(Yan)性(Xing)水(Shui)肿(Zhong),(?)使(Shi)房(Fang)水(Shui)排(Pai)除(Chu)受(Shou)阻(Zu)。(?)
晶(Jing)状(Zhuang)体(Ti)源(Yuan)性(Xing)青(Qing)光(Guang)眼(Yan)
在(Zai)白(Bai)内(Nei)障(Zhang)的(De)病(Bing)程(Cheng)中(Zhong),(?)晶(Jing)状(Zhuang)体(Ti)膨(Peng)胀(Zhang),(?)推(Tui)挤(Ji)虹(Hong)膜(Mo)前(Qian)移(Yi),(?)可(Ke)使(Shi)前(Qian)房(Fang)变(Bian)浅(Qian),(?)房(Fang)角(Jiao)关(Guan)闭(Bi)而(?)发(Fa)生(Sheng)类(Lei)似(Si)急(Ji)性(Xing)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)的(De)眼(Yan)压(Ya)骤(Zhou)然(Ran)升(Sheng)高(Gao)。(?)原(Yuan)则(Ze)为(Wei)摘(Zhai)除(Chu)晶(Jing)状(Zhuang)体(Ti),(?)如(Ru)房(Fang)角(Jiao)已(Yi)有(You)广(Guang)泛(Fan)粘(Zhan)连(Lian),(?)则(Ze)可(Ke)考(Kao)虑(Lu)白(Bai)内(Nei)障(Zhang)和(He)青(Qing)光(Guang)眼(Yan)联(Lian)合(He)手(Shou)术(Shu)。(?)
白(Bai)内(Nei)障(Zhang)过(Guo)熟(Shu)期(Qi),(?)晶(Jing)状(Zhuang)体(Ti)皮(Pi)质(Zhi)液(Ye)化(Hua)并(Bing)漏(Lou)入(Ru)前(Qian)房(Fang),(?)被(Bei)巨(Ju)噬(Shi)细(Xi)胞(Bao)吞(Tun)噬(Shi),(?)巨(Ju)噬(Shi)细(Xi)胞(Bao)以(Yi)及(Ji)大(Da)分(Fen)子(Zi)晶(Jing)状(Zhuang)体(Ti)蛋(Dan)白(Bai)均(Jun)可(Ke)阻(Zu)塞(Sai)小(Xiao)梁(Liang)网(Wang),(?)是(Shi)防(Fang)水(Shui)外(Wai)流(Liu)受(Shou)阻(Zu),(?)眼(Yan)压(Ya)升(Sheng)高(Gao)。(?)临(Lin)床(Chuang)表(Biao)现(Xian)为(Wei)眼(Yan)胀(Zhang)痛(Tong)、(?)房(Fang)水(Shui)混(Hun)浊(Zhuo)、(?)晶(Jing)状(Zhuang)体(Ti)核(He)下(Xia)沉(Chen)等(Deng)。(?)应(Ying)在(Zai)药(Yao)物(Wu)控(Kong)制(Zhi)眼(Yan)压(Ya)后(Hou)行(Xing)白(Bai)内(Nei)障(Zhang)摘(Zhai)除(Chu)术(Shu)。(?)
外(Wai)伤(Shang)性(Xing)或(Huo)自(Zi)发(Fa)性(Xing)晶(Jing)状(Zhuang)体(Ti)脱(Tuo)位(Wei),(?)可(Ke)引(Yin)起(Qi)眼(Yan)压(Ya)升(Sheng)高(Gao)。(?)脱(Tuo)位(Wei)的(De)晶(Jing)状(Zhuang)体(Ti)常(Chang)嵌(Qian)顿(Dun)在(Zai)瞳(Tong)孔(Kong)区(Qu),(?)或(Huo)拖(Tuo)入(Ru)前(Qian)房(Fang),(?)可(Ke)行(Xing)晶(Jing)状(Zhuang)体(Ti)摘(Zhai)除(Chu)术(Shu)。(?)此(Ci)外(Wai),(?)晶(Jing)状(Zhuang)体(Ti)脱(Tuo)位(Wei)或(Huo)半(Ban)脱(Tuo)位(Wei)时(Shi),(?)由(You)于(Yu)悬(Xuan)韧(Ren)带(Dai)断(Duan)离(Li),(?)晶(Jing)状(Zhuang)体(Ti)前(Qian)后(Hou)径(Jing)增(Zeng)加(Jia),(?)也(Ye)可(Ke)使(Shi)前(Qian)房(Fang)变(Bian)浅(Qian),(?)房(Fang)角(Jiao)关(Guan)闭(Bi),(?)眼(Yan)压(Ya)升(Sheng)高(Gao)。(?)
球(Qiu)形(Xing)晶(Jing)状(Zhuang)体(Ti)可(Ke)增(Zeng)加(Jia)瞳(Tong)孔(Kong)阻(Zu)滞(Zhi),(?)引(Yin)起(Qi)闭(Bi)角(Jiao)型(Xing)青(Qing)光(Guang)眼(Yan)。(?)针(Zhen)对(Dui)球(Qiu)形(Xing)晶(Jing)状(Zhuang)体(Ti)、(?)睫(Jie)状(Zhuang)肌(Ji)麻(Ma)痹(Bi)剂(Ji)可(Ke)使(Shi)晶(Jing)状(Zhuang)体(Ti)扁(Bian)平(Ping)后(Hou)退(Tui),(?)减(Jian)轻(Qing)瞳(Tong)孔(Kong)阻(Zu)滞(Zhi),(?)而(?)缩(Suo)瞳(Tong)剂(Ji)则(Ze)可(Ke)能(Neng)加(Jia)重(Zhong)病(Bing)情(Qing)。(?)
虹(Hong)膜(Mo)睫(Jie)状(Zhuang)体(Ti)炎(Yan)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)
虹(Hong)膜(Mo)睫(Jie)状(Zhuang)体(Ti)炎(Yan)可(Ke)因(Yin)炎(Yan)性(Xing)细(Xi)胞(Bao)、(?)纤(Xian)维(Wei)蛋(Dan)白(Bai)渗(Shen)出(Chu)以(Yi)及(Ji)组(Zu)织(Zhi)碎(Sui)片(Pian)阻(Zu)塞(Sai)小(Xiao)梁(Liang)网(Wang),(?)虹(Hong)膜(Mo)周(Zhou)边(Bian)前(Qian)粘(Zhan)连(Lian)或(Huo)小(Xiao)梁(Liang)网(Wang)炎(Yan)症(Zheng),(?)均(Jun)使(Shi)房(Fang)水(Shui)外(Wai)流(Liu)受(Shou)阻(Zu);瞳(Tong)孔(Kong)闭(Bi)锁(Suo)或(Huo)膜(Mo)闭(Bi)阻(Zu)断(Duan)了(Liao)房(Fang)水(Shui)交(Jiao)通(Tong),(?)引(Yin)起(Qi)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)。(?)急(Ji)性(Xing)虹(Hong)膜(Mo)睫(Jie)状(Zhuang)体(Ti)炎(Yan)时(Shi),(?)应(Ying)及(Ji)时(Shi)扩(Kuo)瞳(Tong);虹(Hong)膜(Mo)广(Guang)泛(Fan)粘(Zhan)连(Lian)时(Shi),(?)应(Ying)及(Ji)早(Zao)行(Xing)激(Ji)光(Guang)虹(Hong)膜(Mo)切(Qie)开(Kai)术(Shu)。(?)
新(Xin)生(Sheng)血(Xue)管(Guan)性(Xing)青(Qing)光(Guang)眼(Yan)
新(Xin)生(Sheng)血(Xue)管(Guan)性(Xing)青(Qing)光(Guang)眼(Yan)是(Shi)一(Yi)种(Zhong)继(Ji)发(Fa)性(Xing)于(Yu)视(Shi)网(Wang)膜(Mo)静(Jing)脉(Mai)阻(Zu)塞(Sai)、(?)糖(Tang)尿(Niao)病(Bing)性(Xing)视(Shi)网(Wang)膜(Mo)病(Bing)变(Bian)等(Deng)视(Shi)网(Wang)膜(Mo)缺(Que)血(Xue)性(Xing)疾(Ji)病(Bing)或(Huo)炎(Yan)症(Zheng)之(Zhi)后(Hou)的(De)难(Nan)治(Zhi)性(Xing)青(Qing)光(Guang)眼(Yan)。(?)由(You)于(Yu)虹(Hong)膜(Mo)表(Biao)面(Mian)和(He)前(Qian)房(Fang)角(Jiao)新(Xin)生(Sheng)血(Xue)管(Guan)和(He)结(Jie)缔(Di)组(Zu)织(Zhi)膜(Mo)形(Xing)成(Cheng),(?)使(Shi)周(Zhou)边(Bian)部(Bu)虹(Hong)膜(Mo)和(He)小(Xiao)梁(Liang)网(Wang)紧(Jin)密(Mi)粘(Zhan)连(Lian),(?)引(Yin)起(Qi)眼(Yan)压(Ya)升(Sheng)高(Gao)、(?)眼(Yan)部(Bu)充(Chong)血(Xue)和(He)剧(Ju)烈(Lie)病(Bing)痛(Tong)。(?)
睫(Jie)状(Zhuang)环(Huan)阻(Zu)塞(Sai)性(Xing)青(Qing)光(Guang)眼(Yan)
睫(Jie)状(Zhuang)环(Huan)阻(Zu)塞(Sai)性(Xing)青(Qing)光(Guang)眼(Yan)又(You)称(Cheng)恶(E)性(Xing)青(Qing)光(Guang)眼(Yan),(?)多(Duo)见(Jian)于(Yu)内(Nei)眼(Yan)手(Shou)术(Shu)后(Hou)。(?)发(Fa)病(Bing)机(Ji)制(Zhi)主(Zhu)要(Yao)为(Wei)晶(Jing)状(Zhuang)体(Ti)或(Huo)玻(Bo)璃(Li)体(Ti)与(Yu)水(Shui)肿(Zhong)的(De)睫(Jie)状(Zhuang)环(Huan)相(Xiang)贴(Tie),(?)后(Hou)防(Fang)水(Shui)不(Bu)能(Neng)进(Jin)入(Ru)前(Qian)房(Fang)而(?)向(Xiang)后(Hou)逆(Ni)流(Liu),(?)并(Bing)积(Ji)聚(Ju)在(Zai)玻(Bo)璃(Li)体(Ti)内(Nei),(?)同(Tong)时(Shi)将(Jiang)晶(Jing)状(Zhuang)体(Ti)-虹(Hong)膜(Mo)隔(Ge)向(Xiang)前(Qian)推(Tui)挤(Ji),(?)使(Shi)整(Zheng)个(Ge)前(Qian)房(Fang)变(Bian)浅(Qian)。(?)
视(Shi)网(Wang)膜(Mo)玻(Bo)璃(Li)体(Ti)手(Shou)术(Shu)后(Hou)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)
视(Shi)网(Wang)膜(Mo)脱(Tuo)离(Li)手(Shou)术(Shu),(?)如(Ru)环(Huan)扎(Zha)术(Shu)、(?)巩(Gong)膜(Mo)垫(Dian)压(Ya)术(Shu)后(Hou),(?)因(Yin)眼(Yan)内(Nei)容(Rong)积(Ji)减(Jian)少(Shao)、(?)脉(Mai)络(Luo)膜(Mo)渗(Shen)漏(Lou)、(?)睫(Jie)状(Zhuang)体(Ti)前(Qian)移(Yi),(?)可(Ke)使(Shi)前(Qian)房(Fang)变(Bian)浅(Qian),(?)房(Fang)角(Jiao)关(Guan)闭(Bi),(?)导(Dao)致(Zhi)继(Ji)发(Fa)性(Xing)青(Qing)光(Guang)眼(Yan)。(?)
虹(Hong)膜(Mo)角(Jiao)膜(Mo)内(Nei)皮(Pi)综(Zong)合(He)症(Zheng)
本(Ben)病(Bing)可(Ke)能(Neng)与(Yu)疱(Pao)疹(Zhen)病(Bing)毒(Du)感(Gan)染(Ran)有(You)关(Guan),(?)多(Duo)见(Jian)于(Yu)女(Nu)性(Xing),(?)几(Ji)乎(Hu)都(Du)是(Shi)单(Dan)眼(Yan)发(Fa)病(Bing),(?)包(Bao)括(Kuo)进(Jin)行(Xing)性(Xing)虹(Hong)膜(Mo)萎(Wei)缩(Suo)、(?)虹(Hong)膜(Mo)痣(Zhi)综(Zong)合(He)症(Zheng)和(He)Chandler综(Zong)合(He)症(Zheng)。(?)这(Zhe)三(San)种(Zhong)相(Xiang)关(Guan)疾(Ji)病(Bing)均(Jun)有(You)角(Jiao)膜(Mo)内(Nei)皮(Pi)病(Bing)变(Bian),(?)并(Bing)伴(Ban)有(You)不(Bu)同(Tong)程(Cheng)度(Du)的(De)前(Qian)房(Fang)角(Jiao)和(He)虹(Hong)膜(Mo)表(Biao)面(Mian)内(Nei)皮(Pi)化(Hua)。(?)