Journal of Nippon Medical School: Vol.70 No.5 page.452

Journal of Nippon Medical School

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ArticleTitle 閉塞隅角緑内障　診断と経過観察における注意点

AuthorList 清水暢夫, 樋口真理子, 若山かおり, 岩波美陽, 矢口智恵美, 堀口さおり, 森田琢

Affiliation 日本医科大学付属第二病院眼科

Language JA

Volume 70

Issue 5

Year 2003

Page 452-455

Received December 3, 2002

Accepted February 7, 2003

Keywords common cold, angle-closure glaucoma, laser iridectomy, lens intumesence, secondary angle-closure glaucoma

Abstract
A 74-year-old woman visited her local physician complaining of fever, cough, headache, hyperemic left conjunctiva, and blurred vision. She was diagnosed as having common cold and medicated for it, and later, she visited our department. She had a shallow left anterior chamber with moderately dilated pupil. Gonioscopic examination of the left eye revealed a narrow angle corresponding to grade 1 by Shaffer grading system. Left intraocular pressure was 16 mmHg. She was diagnosed to have had a spontaneous recovery from a subacute attack of angle-closure glaucoma. Laser iridectomy was performed and she was put on a regular ophthalmological follow-up. Three years later, she experienced an attack of left angle-closure glaucoma secondary to lens intumescence. She was treated by phacoemulsification and aspitaion which resulted in the eventual cure.

Correspondence to Correspondence to Nobuo Shimizu, Department of Ophthalmology, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki-shi, Kanagawa 211-0063, Japan

ArticleTitle	閉塞隅角緑内障　診断と経過観察における注意点
AuthorList	清水暢夫, 樋口真理子, 若山かおり, 岩波美陽, 矢口智恵美, 堀口さおり, 森田琢
Affiliation	日本医科大学付属第二病院眼科
Language	JA
Volume	70
Issue	5
Year	2003
Page	452-455
Received	December 3, 2002
Accepted	February 7, 2003
Keywords	common cold, angle-closure glaucoma, laser iridectomy, lens intumesence, secondary angle-closure glaucoma
Abstract	A 74-year-old woman visited her local physician complaining of fever, cough, headache, hyperemic left conjunctiva, and blurred vision. She was diagnosed as having common cold and medicated for it, and later, she visited our department. She had a shallow left anterior chamber with moderately dilated pupil. Gonioscopic examination of the left eye revealed a narrow angle corresponding to grade 1 by Shaffer grading system. Left intraocular pressure was 16 mmHg. She was diagnosed to have had a spontaneous recovery from a subacute attack of angle-closure glaucoma. Laser iridectomy was performed and she was put on a regular ophthalmological follow-up. Three years later, she experienced an attack of left angle-closure glaucoma secondary to lens intumescence. She was treated by phacoemulsification and aspitaion which resulted in the eventual cure.
Correspondence to	Correspondence to Nobuo Shimizu, Department of Ophthalmology, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki-shi, Kanagawa 211-0063, Japan