11例闭角型青光眼并高度近视眼的临床分析

Clinical anaysis of 11 patients with high myopia and angle closure

目的:探讨闭角型青光眼中高度近视的发病机制和诊疗方法。方法:回顾性分析了692例闭角型青光眼病例的临床资料,对11例闭角型青光眼并高度近视眼患者行手术治疗。结果:692例闭角型青光眼中高度近视眼患者11例,其中3例为Weill-Marchesani综合征,1例虹膜高褶综合征,2例虹膜睫状体囊肿,余5例为瞳孔阻滞。11例患者19只眼接受晶体手术或滤过性手术后均成功控制眼压。结论:高度近视眼患者在一些特定情况下可发生房角关闭甚至闭角型青光眼,其发病机制主要是瞳孔阻滞。

Objective To investigate the pathogenesis and treatment of high myopia in patients with angle-closure glaucoma.Methods Clinic data of 692 patients with angle closure glaucoma were analyzed retrospectively.Eleven patients with high myopia and angle closure underwent surgery.Results Eleven patients with high myopia in the 692 angle-closure glaucoma were identified： 3 Weill-Marchesani syndrome,1 plateau iris configuration and syndrome,5 primary pupillary block,and 2 iris cyst.Intraocular pressure in 19 eyes of the 11 patients was successfully controlled after receiving phaco or filtering surgery.Conclusion Angle closure can occur in eyes with high myopia,and pupillary block may be the main cause of angle closure.