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虹膜角膜内皮综合征,简称ICE 综合征,是以角膜内皮异常为发病因素,最终导致角膜水肿或青光眼。临床上分为进行性虹膜萎缩(Harmslnll1903)、Chandler 综合征(Chandler1956)和虹膜痣综合征(Cogon—Reese1969)三种类型。我们对一例晚期Chandler 综合征患者实施了穿通性角膜移植术。术后视力明显提高,现报告如下。患者男性42岁农民住院号3253683 从1987年4月右眼常出现雾视,时轻时重。左眼于1977年因眼球穿通伤而失明。家族史无特殊记载。右眼视力0.05(不能矫正),左眼无光感。眼压右1.94kpa(14.57mmHg),左7.88kpa(59.10mmHg)。右眼混合性充血,角膜弥漫性水肿,角膜后面星银箔样。虹膜轻度萎缩,在裂隙灯下可见
Iris corneal endothelial syndrome, referred to as ICE syndrome, is based on the corneal endothelial abnormalities as the causal factor, eventually leading to corneal edema or glaucoma. Clinically divided into progressive iris atrophy (Harmslnll1903), Chandler syndrome (Chandler1956) and iris nevus syndrome (Cogon-Reese1969) three types. We performed a penetrating keratoplasty on a patient with advanced Chandler syndrome. Postoperative visual acuity was significantly improved, are as follows. Patient Male 42-year-old farmer Inpatient number 3253683 From 1987 April the right eye often appear as fog, when light weight. Left eye in 1977 due to eye penetrating injury and blindness. Family history no special records. Right eye visual acuity 0.05 (can not be corrected), the left eye no light feeling. Intraocular pressure right 1.94kpa (14.57mmHg), left 7.88kpa (59.10mmHg). Mixed right eye congestion, corneal diffuse edema, star silver foil after the cornea-like. Iris mild atrophy, visible in the slit lamp