Iam Dr. Xiu Wang, from Tianjin Medical University Eye Hospital, Tianjin, China. I write to present one case report of Posner-Schlossman syndrome （PSS） induced laser in situ keratomileusis （LASIK） keratectasia.
Background:To describe our 10-year experience with Posner-Schlossman syndrome(PSS)in terms of morbidity and prognosis.Methods:We investigated 72 cases(74 eyes;both eyes of 2 cases)of PSS between July 2005 and July 201...Background:To describe our 10-year experience with Posner-Schlossman syndrome(PSS)in terms of morbidity and prognosis.Methods:We investigated 72 cases(74 eyes;both eyes of 2 cases)of PSS between July 2005 and July 2015.Data were collected on intraocular pressure(IOP),keratic precipitates(KP),anterior chamber,pupil,optic nerve disc and visual field,as well as general characteristics.Each case was examined every 3 to 7 days during attacks and every 2 to 6 months between attacks.Results:The mean age of the 72 patients(41 men)was 40±6 years(range,16-64 years).The mean disease duration was 4.3 years(range,1-7 years)and mean follow-up 4.9 years(range,1-8 years).Medical treatment was efficacious for 62 patients(62 eyes,83.78%).Ten patients exhibited progressive cupping and visual field loss(12 eyes,16.22%),all had normal IOP and no recurrence of PSS after trabeculectomy with anti-metabolite treatment.Conclusions:Although the prognosis of most PSS is usually benign,the IOP and optic nerve disc must be monitored.Visual-field damage can occur with long-term disease and frequent attacks.展开更多
目的分析青光眼睫状体炎综合征(Posner-Schlossmann syndrome,PSS)合并原发性青光眼的临床特点,提出PSS与原发性开角型青光眼(primary open angle glaucoma,POAG)、PSS与PSS合并原发性青光眼的鉴别诊断要点,为临床甄别及治疗提供依据。...目的分析青光眼睫状体炎综合征(Posner-Schlossmann syndrome,PSS)合并原发性青光眼的临床特点,提出PSS与原发性开角型青光眼(primary open angle glaucoma,POAG)、PSS与PSS合并原发性青光眼的鉴别诊断要点,为临床甄别及治疗提供依据。方法回顾性分析近15年收集到的145例PSS患者及166例POAG患者的临床资料,提出PSS的诊断及与原发性青光眼鉴别诊断的策略,并将其运用于临床。结果对495例PSS做出了及时的诊断和治疗;甄别出PSS合并原发性青光眼70例(开角型49例,闭角型21例),使这些患者得到了及时正确的治疗,避免了不可复性盲的发生;纠正了将PSS误诊为原发性青光眼76例,及时终止了不当治疗。结论将PSS的诊断及鉴别诊断要点运用于临床,将极大提高医生对该类疾病的认识及诊断水平,减少误诊率,避免不当治疗。展开更多
目的评估选择性激光小梁成形术在青睫综合征中的降眼压作用。方法采用回顾性临床病例研究,选择最大耐受药物治疗眼压仍未达到正常的青睫综合征患者10例10眼,于间歇期应用选择性激光小梁成形术治疗,观察再次发作时眼压、最佳矫正视力和...目的评估选择性激光小梁成形术在青睫综合征中的降眼压作用。方法采用回顾性临床病例研究,选择最大耐受药物治疗眼压仍未达到正常的青睫综合征患者10例10眼,于间歇期应用选择性激光小梁成形术治疗,观察再次发作时眼压、最佳矫正视力和手术并发症等情况。结果选择性激光小梁成形术治疗后再次发作时眼压为(14.50±0.89)mm Hg(1 k Pa=7.5 mm Hg),与术前(46.20±7.16)mm Hg相比明显降低,差异有统计学意义(P=0.000 1);术后最佳矫正视力为0.98±0.15,与术前0.79±0.08相比差异有统计学意义(P=0.03)。术后2 h 2眼出现一过性眼压升高,7眼出现轻度的前房炎性反应,未见全身不良反应。结论选择性激光小梁成形术能明显降低青睫综合征患者再次发作时的眼压。展开更多
文摘Iam Dr. Xiu Wang, from Tianjin Medical University Eye Hospital, Tianjin, China. I write to present one case report of Posner-Schlossman syndrome （PSS） induced laser in situ keratomileusis （LASIK） keratectasia.
基金The study was approved by the Research Ethics Committee of Affiliated Hospital of Qingdao University(No.2005-017).
文摘Background:To describe our 10-year experience with Posner-Schlossman syndrome(PSS)in terms of morbidity and prognosis.Methods:We investigated 72 cases(74 eyes;both eyes of 2 cases)of PSS between July 2005 and July 2015.Data were collected on intraocular pressure(IOP),keratic precipitates(KP),anterior chamber,pupil,optic nerve disc and visual field,as well as general characteristics.Each case was examined every 3 to 7 days during attacks and every 2 to 6 months between attacks.Results:The mean age of the 72 patients(41 men)was 40±6 years(range,16-64 years).The mean disease duration was 4.3 years(range,1-7 years)and mean follow-up 4.9 years(range,1-8 years).Medical treatment was efficacious for 62 patients(62 eyes,83.78%).Ten patients exhibited progressive cupping and visual field loss(12 eyes,16.22%),all had normal IOP and no recurrence of PSS after trabeculectomy with anti-metabolite treatment.Conclusions:Although the prognosis of most PSS is usually benign,the IOP and optic nerve disc must be monitored.Visual-field damage can occur with long-term disease and frequent attacks.
文摘目的分析青光眼睫状体炎综合征(Posner-Schlossmann syndrome,PSS)合并原发性青光眼的临床特点,提出PSS与原发性开角型青光眼(primary open angle glaucoma,POAG)、PSS与PSS合并原发性青光眼的鉴别诊断要点,为临床甄别及治疗提供依据。方法回顾性分析近15年收集到的145例PSS患者及166例POAG患者的临床资料,提出PSS的诊断及与原发性青光眼鉴别诊断的策略,并将其运用于临床。结果对495例PSS做出了及时的诊断和治疗;甄别出PSS合并原发性青光眼70例(开角型49例,闭角型21例),使这些患者得到了及时正确的治疗,避免了不可复性盲的发生;纠正了将PSS误诊为原发性青光眼76例,及时终止了不当治疗。结论将PSS的诊断及鉴别诊断要点运用于临床,将极大提高医生对该类疾病的认识及诊断水平,减少误诊率,避免不当治疗。
文摘目的评估选择性激光小梁成形术在青睫综合征中的降眼压作用。方法采用回顾性临床病例研究,选择最大耐受药物治疗眼压仍未达到正常的青睫综合征患者10例10眼,于间歇期应用选择性激光小梁成形术治疗,观察再次发作时眼压、最佳矫正视力和手术并发症等情况。结果选择性激光小梁成形术治疗后再次发作时眼压为(14.50±0.89)mm Hg(1 k Pa=7.5 mm Hg),与术前(46.20±7.16)mm Hg相比明显降低,差异有统计学意义(P=0.000 1);术后最佳矫正视力为0.98±0.15,与术前0.79±0.08相比差异有统计学意义(P=0.03)。术后2 h 2眼出现一过性眼压升高,7眼出现轻度的前房炎性反应,未见全身不良反应。结论选择性激光小梁成形术能明显降低青睫综合征患者再次发作时的眼压。
