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一、诊断:外伤性房角后退型青光眼可在房角损伤后多年方出现症状,当单侧患眼前房正常或深、眼压增高但无晶体囊膜剥脱时,应高度怀疑为外伤性房角后退型青光眼。二、前房角检查:前房角检查常能确诊本病,房角后退可超过270°,与未受伤之对侧眼比较,房角被认为“正常”宽角开放者常需重新分类。因此,对于单侧青光眼,应检查双眼房角以资比较。检查中偶尔可见周边房角前粘连,这是外伤性房角撕裂急性期的后遗症。其它有关眼前节陈旧性挫伤的体征如虹膜震颤、晶体前囊星状混浊或晶体震颤、外伤性虹膜炎所形成的晶体前囊色素沉着等有助于诊断。此
First, the diagnosis: Traumatic angle retrograde glaucoma in the corners of the corner after years of symptoms, when unilateral anterior chamber abnormalities normal or deep, intraocular pressure but no lens capsule stripping, should be highly suspected traumatic sex room Angle retreat glaucoma. Second, the anterior chamber angle examination: Anterior chamber angle examination can often diagnose the disease, angle back to more than 270 °, compared with uninjured contralateral eyes, the angle is considered “normal” wide-angle open often need reclassification. Therefore, for unilateral glaucoma, should check the binocular angle for comparison. Check occasionally seen around the corner of the anterior chamber adhesions, which is traumatic acute angle after tearing of the corner. Other signs of obsolescence in the anterior segment such as iris tremor, anterior capsular opacity or crystal tremor in the anterior lens capsule, and anterior capsule pigmentation of the lens formed by traumatic iris are helpful in the diagnosis. this