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相關文獻
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頁籤選單縮合
題名 | Anterior Megalophthalmos=前位巨眼 |
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作者 | 蔡健光; 賴盈洲; 郭錫恭; 鄧美琴; 方博炯; Tsai, Chien-kuang; Lai, Ing-chou; Kuo, Hsi-kung; Teng, Mei-chung; Fang, Po-chiung; |
期刊 | 長庚醫學 |
出版日期 | 20050300 |
卷期 | 28:3 2005.03[民94.03] |
頁次 | 頁191-195 |
分類號 | 416.744 |
語文 | eng |
關鍵詞 | 前位巨眼症; 白內障; 巨角膜; 先天性青光眼; Anterior megalophthalmos; Presenile cataract; Megalocornea; Congenital glaucoma; |
中文摘要 | We describe a 36-year-old female who suffered from presenile cataract (nuclear sclerosis and posterior subcapsular opacity, with more-severe disease in the right eye than in the left) and report the use of some ophthalmologic examinations to evaluate the anatomic structures and visual functions of both eyes. Slit-lamp biomicroscopy showed increasing horizontal and vertical corneal diameters (14.0/13.5 mm) and iridodonesis. The pupils could not be fully dilated, and the lenses exhibited cataractous changes. The postlimbal depths were 1.772 mm (OD) and 1.690 mm (OS) (normal value, <0.20 mm). The results of gonioscopy, specular microscopy, Goldmann visual field, and intraocular pressure evaluation were all within normal limits. Because the patient had bilateral megalocornea in the absence of glaucoma, a very deep anterior chamber depth, secondary effects of iridodonesis, and changes to cataractous lenses, anterior megalophthalmos was diagnosed. This disease is rare. Secondary effects such as iridodonesis, miosis, atrophy of the iris stroma lens subluxation, and occurrence of cataractous lens should be kept in mind. |
英文摘要 | 在此我們報告一位36歲女性罹患白內障,經儀器評估其雙眼結構及視覺功能後發現以下變化。首先,細隙燈下其眼角膜水平及垂直直徑增大(14.0/13.5mm)並呈現虹膜震顫。其次,瞳孔並無法被藥物完全散大且水晶體呈白內障變化。輪狀部平面至水晶體之垂直距離為右眼1.772 mm及左眼1.690 mm(正常人為0.20 mm)。此外,隅角鏡,反射式顯微鏡,Goldmann視野計及眼壓計所測結果皆在正常範圍。由於病人呈現雙眼非青光眼性巨角膜,很深的前房以及併發虹膜震顫與白內障變化,故診斷為前位巨眼症。 此症是一罕見疾病。它所引發的病症如虹膜震顫,瞳孔縮小,虹膜基質萎縮,水晶體半脫位及最常見的白內障變化是我們須注意的。 |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。