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恶性青光眼首先由Von Graefe(1869)描述。其临床特点是充血性青光眼或慢性单纯性青光眼手术后,前房变浅甚至消失,虹膜及品状体同角膜背面相贴,角腆周围充血,眼压升高,视力显著下降。典型严重病例,犹如急性青光眼发作。本症一旦发生,进一步施抗青光眼手术往往无效。处理不及时,常需摘除眼球而造成终生残废。恶性青光眼常发生于虹膜切除术、角膜巩膜环钻术,睫状体分离术以及虹膜嵌顿术之后。本文报告8例9只眼中,6只为虹膜嵌顿术,2只为Scheie氏
Malignant glaucoma was first described by Von Graefe (1869). The clinical features of congestive glaucoma or chronic simple glaucoma surgery, the anterior chamber becomes shallow or even disappear, the iris and the body with the cornea on the back of the paste, congestion around the horn, intraocular pressure, visual acuity decreased significantly. A typical serious case, like an acute glaucoma attack. Once the disease occurs, further Shi glaucoma surgery is often ineffective. Treatment is not timely, often need to remove the eye and cause disability for life. Malignant glaucoma often occurs after iridectomy, corneal scleral ring drilling, ciliary body surgery and iris incarceration. This article reports 8 of 9 eyes, 6 of which are iris incontinence and 2 of whom are Scheie’s