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眼球和眼眶的疾病均可引起继发性眼压升高。继发于巩膜静脉压升高的开角型青光眼可来自眼眶疾病的演变过程,如甲状腺疾病、眼眶炎性假瘤、动静脉畸形和静脉曲张。继发性闭角型青光眼可由视网膜中央静脉阻塞、巩膜扣带术伴有反应性淋巴细胞增生,后巩膜炎以及由获得性免疫缺陷综合征(AIDS)而引起的。本文报告一例眼眶炎性假瘤表现有急性闭角型青光眼,全身应用激素治疗,眼眶炎性假瘤和青光眼均得到缓解。患者为一62岁女性,主诉右眼眶周疼痛一周,以前无眼病史,既往有胃溃疡病史。检查:视力:右眼6/12(20/40),左眼6/9(20/30)。右上睑轻度肿胀,眼球运动正常,球结膜中度充血水肿,角膜清亮、前房深度2.0mm,房水无闪光或细胞,晶体从玻璃
Eye and orbital diseases can cause secondary elevated intraocular pressure. Open-angle glaucoma secondary to elevated scleral venous pressure may result from the development of orbital disease, such as thyroid disease, orbital inflammatory pseudotumor, arteriovenous malformations, and varicose veins. Secondary angle-closure glaucoma may be caused by central retinal vein occlusion, scleral buckling with reactive lymphoproliferation, posterior scleritis, and acquired immunodeficiency syndrome (AIDS). This article reports a case of orbital inflammatory pseudotumor with acute angle-closure glaucoma, systemic hormone therapy, orbital inflammatory pseudotumor and glaucoma were eased. The patient, a 62-year-old woman, complained of right-orbital pain for a week without previous eye history and previous history of gastric ulcer. Check: visual acuity: right eye 6/12 (20/40), left eye 6/9 (20/30). Right upper eyelid mild swelling, normal eye movements, bulbar conjunctiva moderate congestion and edema, corneal clear, anterior chamber depth 2.0mm, aqueous humor or cells, no crystal, glass from the glass