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題名:OPEN ANGLE GLAUCOMA ASSOCIATED WITH OSTEOGENESIS IMPERFECTA     (14點)
隅角開放型青光眼合併成骨不全症
著者:Shuai-Chun Lin(林帥群) ;Jui-Ling Liu(Catherine)(劉瑞玲) ;Tsung-Yu Ho(何宗諭) ;Fenq-Lih Lee(李鳳利)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Osteogenesis imperfecta ; blue sclera ; open angle glaucoma
刊名:中華民國眼科醫學會雜誌
卷期:48卷1期(2009.3)
頁碼:27-33
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一晚期青光眼合併成骨不全症病例之 臨床表現特徵,治療方式及預後。 方法:病例報告。 結果:一位三十六歲女性病患近三個月來有雙眼 視力減退現象。病患在十年前曾接受雙眼近視矯正手 術'並有數年青光眼病史,原本在外院已安排青光眼 小樑切除術'因術中發現鞏膜太薄而未能完成。病患 之後輾轉因疑似眼內黑色素細胞瘤及藥物難以控制 之晚期青光眼轉介至本院。檢查發現雙眼中心角膜厚 度右眼321um' 左眼330um' 兩眼呈現藍色鞏膜, 合併有擴大之雙眼視神經凹(右眼0.9 左眼0.95) 。眼底及影像學檢查並無發現眼內黑色素瘤跡象。同時病 患因頻繁的骨折,身材短小,嚴重之脊柱後彎及桶狀 胸廓,符合成骨不全症的臨床診斷。經考慮病人特殊 情形,選擇使用降低能量之經鞏膜二極體雷射睦狀體 光凝固術為其治療,術後四個月追蹤期間眼壓控制良 好。 結論:成骨不全患者角膜及鞏膜的厚度較薄,特 別是合併有藍色鞏膜之亞型。在這類青光眼病患身上 傳統的青光眼手術具有較高的危險性。因而降低能量 之經鞏膜三極體雷射睦狀體光凝固術可為此類少見 病患一有效安全的治療選擇.
Purpose: To repo 吋the c1inical manifestations and treatment of advanced open angle glaucoma in an adult with osteogenesis impe斤ecta (01). Method: Case repo凡 Result: A 36-year-old woman complained of progressive loss of vision OU in recent 3 months. She had received refractive surgery for high myopia 10 years ago and glaucoma had been noted for several years. Trabeculectomy had been attempted by another ophthalmologist but was aborted due to very thin sclera. She was referred to us for medication-uncontrollable intraocular pressure (IOP) (>30 mmHg) and suspected melanoma in both eyes. Ocular examination showed thin cornea (321μm 00, 330μm OS), bilateral blue sclera, and vertical cup-to-disc ratio of 0.9 00 0.95 OS. Fundoscopy and imaging study showed no evidence of ocular melanoma. The diagnosis of 01 was made based on histo叩of frequent bone fractures, short stature, severe kyphosis, and barrel-shaped rib cage. The patient then underwent diode laser trascleral cyclophotocoagulation (TSCP) with reduced power in both eyes. The post-operative 10P was well controlled during the 4-month follow-up period. Conclusion: The cornea and sclera are thin in patients with 01, especially in the subtypes with blue sclera. Glaucoma surgery carries a high risk of complications for these eyes. Oiode TSCP with reduced power may serve as a feasible option for eyes with medication-uncontrollable 10P.


    

本卷期目次
中華民國眼科醫學會雜誌 48卷1期 (2009.3)
治療葡萄膜炎之免疫抑制藥物依實證醫學的使用原則:至2008年相關文獻回顧第二部份:非類固醇免疫抑制劑於葡萄膜炎治療的使用原則/ 黃奕修陳墩祿楊克仁
CURRENT DEVELOPMENT IN SOFT CONTACT LENS/ Wei-Chieh ChiuYih-Shiou HwangJiahn-Shing LeeKen-Kuo Lin
周腦室白質軟化症呈現類似青光眼之視神經盤變化--病例報告/ 胡家豪鄧美琴陳勇仁林淑妍
高空缺氧環境下配戴各式隱形眼鏡之觀察/ 劉峻正蔡明霖陳建同項正川張雲翔黃敬堯徐文錦洪啟庭
OPEN ANGLE GLAUCOMA ASSOCIATED WITH OSTEOGENESIS IMPERFECTA/ Shuai-Chun LinJui-Ling Liu(Catherine)Tsung-Yu HoFenq-Lih Lee
OPHTHALMOPLEGIA AND OPTIC NEUROPATHY AFTER EMBOLIZATION OF EXTERNAL AUDITORY CANAL TUMOR: A CASE REPORT/ Ya-Chi ChenYu-Hung Lai
GUNSHOT-RELATED PERIORBITAL METALLIC FOREIGN BODIES--CASE REPORTS/ Chien-Hui LinJieh-Ren Jou
PHOTOREFRACTIVE KERATECTOMY WITH MITOMYCIN-C AFTER UNDERCORRECTED RADIAL KERATOTOMY/ Li-Wei ChenHuey-Chuan Cheng
SIGNIFICANT TUMOR REDUCTION OF EXTENSIVE CONJUNCTIVAL SQUAMOUS CELL CARCINOMA BY RADIOTHERAPY WITH ADJUVANT TOPICAL 0.04% MITOMYCIN C TREATMENT/ Yen-Shou ChouMing-Ling TsaiChi-Ting HorngChia-Hung LiJian-Tong Chen
INFECTIVE ENDOCARDITIS PRESENTING AS SUDDEN UNILATERAL VISUAL LOSS--A CASE REPORT/ Hung-Chiao ChenShu-Tak HoChing-Yun KaoWen-Kai Kuo
EXPRESSION OF MATRIX METALLOPROTEINASE-9 IN CORNEAL HEMOSIDEROSIS--A CASE REPORT/ Shih-Yi YangKo-Hua ChenAn-Hang YangShui-Mei Lee
ACUTE TOTAL KERATOLYSIS OF TRICHOPHYTON FUNGAL KERATITIS-- CASE REPORT/ Ta-Ching ChenYi-Hui ChiangPo-Ting YehFung-Rong HuWei-Li Chen
SUCCESSFUL TREATMENT FOR LONG-TERM PERSISTENT SUBMACULAR FLUID UNDER FOVEAL DETACHMENT AFTER SCLERAL BUCKLING SURGERY/ Hsin-Wei HuangMuh-Shy ChenTzyy-Chang Ho
CANCER ASSOCIATED RETINOPATHY (CAR) IN A PATIENT WITH UNFAVORABLE VISUAL OUTCOME AFTER CATARACT SURGERY: CASE REPORT/ Hsiu-Yi LinChang-Hao YangChung-May Yang
OCULAR LEECH INFESTATION--A CASE REPORT/ Yu-Chien WuPo-Min YangChong-Bin TsaiChau-Yi TanKuo-Pin Chang
MONOCULAR TEMPORAL HEMIANOPIA IN A YOUNG ADULT WITH SEPTO-OPTIC DYSPLASIA--A CASE REPORT/ Chun-Chang LinI-hua WangSzu-Yuan LinJieh-Ren Jou
 
   
 
   

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