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題名 | 放射狀角膜切開術術後併發類固醇性青光眼 |
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作 者 | 林凌虹; 黃慶瑄; 陳清煌; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 31:3 1992.09[民81.09] |
頁次 | 頁81-86 |
分類號 | 416.765 |
關鍵詞 | 放射狀角膜切開術; 類固醇性青光眼; 近視; Radial keratotomy; Visual acuity fluctuation; Steroid-induced glaucoma; |
語文 | 中文(Chinese) |
中文摘要 | 本篇報告兩例接受放射狀角膜切開術(Radial keratotomy)女性病人於追蹤 期間因視力波動(Visual acuity fluctuation)長期使用皮質性類固醇點眼劑 (0.1Dexamethasone)而併發續發性隅角開放性青光眼。兩例都有漸進性之視神經盤 凹陷變大及視野缺損,同時眼壓均無法以藥物控制。因此兩例都接受鐳射小樑網 整型術(Laser trabeculoplasty)。病例一鐳射後眼壓控制良好;病例二接受鐳射二次失 敗後,實施小樑網切除術(Trabeculectomy)。 |
英文摘要 | We reported 2 cases of steroid-induced glaucoma after radial keratotomy. The 2 patients usedtopical corticosteroid eyedrop for a period of time. Intraocular pressure elevated, disc cupping enlarged and visual field defect were noted in both cases. Laser trabeculoplasty was done. The intraocular pressure of case 1 returned to normal after laser procedure. Case 2 received additional trabeculectomy followed the failure of 2nd laser trabeculoplasty. We found there is a close relationship between visual acuity and intraocular pressure of those cases of undercorrection after radial keratotomy. |
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