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3例均为50岁以上、眼前房浅的女性患者。分别于全身应用阿托品24小时后,12小时后、注射完毕时感到头痛、眼胀、视物不清(例1右眼,例2、3双眼)。检查:球结膜混合性充血++～+++,角膜雾状混浊,瞳孔5～6 mm,对光反应消失,眼压分别为50.30、59.10、69.27mmHg。例1、2裂隙灯检查:角膜上皮水肿,虹膜色素沉着,眼底不能窥见。例1经用20%甘露醇静滴、1%匹洛卡品滴眼、双氯苯磺胺口服后,次日症状好转,眼压降至12.30mmHg,角膜上皮水肿消退,丁氏(+)。房角镜检查:房角为窄角(NⅢ),小梁有色素沉着,房角已有2/3开放,房水流畅系数0.24,为预防复发,作虹膜周边切除术。例2经药物治疗无效,于次日作巩膜深层咬切
3 cases were more than 50 years old, eyes shallow female patients. Respectively in the body after atropine 24 hours, 12 hours after the injection is complete headache, bloating, blurred vision (Example 1 right eye, cases 2 and 3 eyes). Check: conjunctival mixed hyperemia ++ ~ +++, corneal haze, pupil 5 ~ 6 mm, the light response disappeared, intraocular pressure were 50.30,59.10,69.27 mmHg. Example 1,2 Slit lamp examination: corneal epithelial edema, iris pigmentation, retinoscopy can not glimpse. Example 1 Intraperitoneal administration of 20% mannitol, 1% pilocarpine drops, oral paracetamol improved symptoms the next day, intraocular pressure dropped 12.30mmHg, corneal epithelial edema subsided, Ding (+). Gonioscopy: angle for the narrow angle (N Ⅲ), trabecular pigmentation, angle 2/3 open, aqueous fluid coefficient of 0.24, for the prevention of recurrence, peripheral iris resection. Example 2 invalid after drug treatment, scleral deep bite cut the next day