警惕以急性闭角型青光眼急性发作为表现的其他眼病

To alert a variety of ocular diseases mimic acute attack of primary angle-closure glaucoma

急性闭角型青光眼急性发作是眼科急诊常见疾病,表现为急性房角关闭、眼压急剧升高导致的一系列症状和体征。然而,有些眼部疾病或全身情况,也可导致类似急性发作期的部分表征,包括各种原因晶状体悬韧带松弛、睫状体炎症和水肿以及眼内良性或恶性肿瘤等,需要十分警惕。积极寻找继发因素,通过详细的病史询问、细致的眼部检查和辅助检查,做出鉴别诊断,是正确处理继发性急性闭角型青光眼的有效手段。

Acute attack of primary angle-closure disease is characterized by acute closure of anterior chamber angle and a dramatic increase in intraocular pressure. However, a variety of patients with ocular or systemic diseases can lead to the similar symp- toms and signs, which represent as secondary acute angle-closure disease, such as zonlar dysfunction, intraocular inflammation or tumor causing angle closure. Therefore misdiagnosis should be alerted. Detailed history taking, careful ocular checking and auxiliary examinations should be made for correct diagnosis and appropriate treatment.