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为探讨晶体溶解性青光眼的临床特点及治疗方法,以期引起对该病的广泛认识,促进早期正确诊治,减少病人痛苦,对7例晶体溶解性青光眼患者的临床资料进行分析。结果:7例患者均系老年人,均有白内障病史,无青光眼病史。起病突然,眼压升高,视力急骤下降,角膜混浊水肿,前房较深或正常,房水中有灰白色或雪花样浮游物,虹膜无后粘连,前房角均为宽角,房水涂片找到巨噬细胞,病理检查发现小梁网间隙、虹膜隐窝及晶体囊表面可见晶体皮质碎片和少量巨噬细胞,晶体囊膜和上皮呈退行性变,晶体皮质液化。抗青光眼药物治疗眼压均不能控制。结论:该病为一临床上独立存在的继发性、急性开角型青光眼。尽早摘除混浊之晶体是本病治疗及预防的唯一方法
In order to explore the clinical features and treatment of crystal dissolving glaucoma, with a view to arouse widespread understanding of the disease, to promote early correct diagnosis and treatment, reduce patient pain, clinical data of 7 patients with crystal dissolve glaucoma were analyzed. Results: All the 7 patients were elderly, all had a history of cataract and no history of glaucoma. Sudden onset, increased intraocular pressure, decreased visual acuity, corneal opacification, anterior chamber deeper or normal, aqueous humor or floats, the iris without adhesion, anterior chamber angle are wide angle, aqueous humor Found macrophages, pathological examination revealed trabecular meshwork, iris crypt and crystal capsule surface can be seen crystal cortex debris and a small amount of macrophages, crystal capsule and epithelial degeneration, crystalline cortical liquefaction. Anti-glaucoma treatment of intraocular pressure can not be controlled. Conclusion: The disease is a clinically independent secondary, acute open-angle glaucoma. The removal of turbid crystals as soon as possible is the only way to treat and prevent this disease