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作者报告了4例长期滴用噻吗心安的原发性开角型青光眼行滤过术后,应用房水生成抑制剂,发生迟发的低眼压和脉络膜脱离。病例1为82岁的黑人妇女,患原发性开角型青光眼,用药包括噻吗心安。左眼行氩激光小梁成形术,后又做小梁切除术。术后4周,由于右眼眼压高而口服醋氮酰胺。当时左眼压7mmHg;滤过泡隆起,前房深度正常,前房角开放,无睫状体剥离裂隙;眼底无脉络膜脱离。术后5个月左眼视力下降和疼痛,所用药物包括醋氮酰胺,右眼滴用毛果芸香碱、肾上腺素和噻吗心安,左
The authors report four cases of long-term use of timolol in primary open-angle glaucoma after filtration surgery, the application of aqueous humor inhibitors, the occurrence of delayed hypotony and choroidal detachment. Case 1 was an 82-year-old black woman suffering from primary open-angle glaucoma, including timolol. Left eye argon laser trabeculation, trabeculectomy and then do. Four weeks after surgery, oral acetazolamide was given due to the high intraocular pressure in the right eye. Left eye pressure was 7mmHg; filtration bubble bulge, anterior chamber depth normal, anterior chamber angle open, no ciliary body stripping fissure; fundus without choroidal detachment. 5 months after surgery left vision loss and pain, the drugs used include vinegar azide, right eye drops with pilocarpine, epinephrine and timolol, left