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목적 : To describe clinical manifestations, ultrasound biomicroscopy(UBM) findings and treatment outcomes of drug induced secondary bilateral acute angle-closure glaucoma.
방법 : A retrospective chart review of patients diagnosed with drug induced secondary bilateral acute angle-closure glaucoma from May 2012 to Feburary 2015 was performed.
결과 : Eight patients (16 eyes) were included in the study. The mean age was 30.6±6.2 years old. Patients complained of decreased visual acuity, ocular pain and headache. UBM revealed supraciliary choroidal effusion causing forward displacement of the lens-iris diaphragm, which resulted in myopia (-6±2.4 diopter), anterior chamber shallowing and increased intraocular pressure (33.1±8.2 mmHg by Goldmann). Discontinuation of causative drugs and administration of pressure-lowering agents led to the resolution of the symptoms. Symptoms improved 6.5±3.7 days after initiation of the treatment.
결론 : Drug induced secondary bilateral acute angle-closure glaucoma is likely to respond very well to cessation of causative drugs and application of pressure lowering drugs. There were no patients who needed invasive treatment, or developed glaucomatous optic neuropathy.
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