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本文报告了海绵窦动静脉瘘12例(13只眼),8例为高压高流瘘,4例为低压低流瘘。后者临床表现不典型,易误诊。10只眼(76.9%)具有高眼压,其中8只眼(61.5%)诊断为继发开角青光眼。本文讨论了此病继发开角青光眼的临床特点和机理。眼压轻度升高常在2.8-5.3kPa之间,它是上巩膜静脉压升高的结果。青光眼是本病的重要问题,它对降压药反应差,影响了该病的预后。
This paper reports 12 cases of cavernous sinus arteriovenous fistula (13 eyes), 8 cases of high pressure and high flow fistula, 4 cases of low pressure and low flow fistula. The latter is not typical clinical manifestations, easy to misdiagnosis. Ten eyes (76.9%) had ocular hypertension and eight of them (61.5%) diagnosed secondary open-angle glaucoma. This article discusses the clinical features and mechanism of secondary open angle glaucoma. Slightly elevated intraocular pressure between 2.8-5.3kPa often, it is the result of increased scleral venous pressure. Glaucoma is an important issue of the disease, which is poor response to antihypertensive drugs, affecting the prognosis of the disease.