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作者介绍一例男性61岁,患有严重心肌梗塞和青光眼。作冠状动脉旁路手术后5年多内,两眼先后眼压上升,经局部和全身用药,眼压时高时低。最后检查双眼房角明显关闭,前房浅、虹膜膨隆,眼压:右46mmHg,左22mmHg(压平眼压计),双眼视力均为20/25。在局麻下行双侧激光虹膜切除术。虹膜膨隆迅速平复,眼压立即下降,右32mmHg,左10mmHg。2小时后,眼压:右38mmHg,左17mmHg,自觉视力无改变。翌日晨,右眼视力突然降为光感,左眼仍为20/25。眼压:右23mmHg,左10mmHg,双眼有
The authors describe a 61-year-old man with severe myocardial infarction and glaucoma. Coronary artery bypass surgery for more than 5 years after the two eyes has increased intraocular pressure, by local and systemic medication, intraocular pressure when high and low. Finally check the binocular angle was significantly closed, shallow anterior chamber, iris bulging, intraocular pressure: right 46mmHg, left 22mmHg (pressure tonometer), binocular vision were 20/25. Bilateral laser iridotomy under local anesthesia. Iris bulging rapidly calm, intraocular pressure immediately decline, right 32mmHg, left 10mmHg. 2 hours later, IOP: right 38mmHg, left 17mmHg, no change in conscious vision. The next morning, right eye vision suddenly reduced to light perception, the left eye is still 20/25. Intraocular pressure: right 23mmHg, left 10mmHg, eyes are