青光眼睫状体炎综合症的临床体会

Clinical experience of glaucomatocyclitic crisis

目的:观察青光眼睫状体炎综合症15例(15眼),包括临床表现及治疗情况.结果:发生青光眼性视野缺损2眼，基中1眼为合并原发性开角型青光眼，手术治疗取得良好疗效。结论：青光眼睫状体炎综合症是一种病因不明的眼部综合症，需与原发生青光眼、葡萄膜炎鉴别。

AIM： To observe the clinical features of glaucomatocyclitic crisis and to investigate its pathogenesis, diagnosis, treatment and prognosis. METHODS： The clinical data of 15 cases （15 eyes） subjected to glaucomatocyclitic crisis were retrospectively analyzed including clinical manifestation and treatment. RESULTS： Visual field was normal in 13 eyes, and 2 eyes had glaucomatous visual field defects, C/D ratio was ≤0.3 in 10 eyes and ≥0.6 in 2 eyes. Through pharmacotherapy the symptoms in 14 eyes disappeared after 2wk, One eye was diagnosed as being complicated by primary open-angle glaucoma and well treated with surgery. CONCLUSION： Glaucomatocyclitic crisis is a kind of ocular syndrome with unknown pathogenesis. It should be differentiated from primary glaucoma and uveitis clinically. Its prognosis is not absolutely benign, and the patients should be followed up regularly.