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“新生血管性青光眼”这一命名是1963年由Weiss shaffer和Nehrenberg提出,取代了过去“出血性青光眼”的提法,强调了新生血管形成不一定是出血。此病并非少见,但易疏忽,造成误诊或漏诊。现报告2例,以引起同道们注意。例一:男,69岁,农民,住院号429582。双眼视蒙8个月,右眼不见物1月余。患者于8个月前起无任何诱因感双眼视物模糊,时有虹视、头痛,无呕吐。近一个月来突然右眼视力明显下降,逐渐视不见物,于1984年9月4日入院。家族史无特殊,过去无高血压病史。全身检查未见异常,血压120/80。眼科检查:视力:右眼黑蒙,左眼0.9~(-2)×sph+0.50=1.0。眼压右10/5=37.19mmHg,左5.5/3.5=22.38mmHg。双限结膜无充血,角膜清,角背沉着物(-),前房深约3mm,房水清,闪光(-)。瞳孔右5mm,左3mm,右侧瞳孔直接、间接对光反射消失,左侧瞳孔直接对光反射存在,右眼虹膜面7
The nomenclature of “neovascular glaucoma” was proposed by Weiss Shaffer and Nehrenberg in 1963 to replace the previous reference to “hemorrhagic glaucoma,” emphasizing that neovascularization is not necessarily bleeding. The disease is not uncommon, but easy to neglect, resulting in misdiagnosis or missed diagnosis. Two cases are reported now to arouse the attention of fellow citizens. Example 1: Male, 69 years old, farmer, hospital number 429582. Eyes 8 months, 8 months without seeing the right eye more than 1 month. Patients from 8 months ago without any incentive to binocular vision blurred, sometimes rainbow, headache, no vomiting. Suddenly in the past month suddenly decreased visual acuity, gradually disappeared, in September 4, 1984 admission. No special family history, no history of hypertension in the past. No abnormalities in systemic examination, blood pressure 120/80. Eye examination: visual acuity: right eye dark, the left eye 0.9 ~ (-2) × sph + 0.50 = 1.0. Intraocular pressure right 10/5 = 37.19mmHg, left 5.5 / 3.5 = 22.38mmHg. Double-limiting conjunctival hyperemia, corneal clear, angular dorsal (-), anterior chamber depth of about 3mm, aqueous humor, flash (-). Right pupil 5mm, left 3mm, the right pupil directly, indirect light reflex disappeared, left pupil light reflex exists, the right eye iris face 7