患者,男性,7岁,发现双眼视力差1个月。Vod?0.3,Tod?33mmHg,Vos?0.4,Tos?27mmHg,双眼无充血,角膜透明,前房轴深2.5C...

作者: rantiku 人气: - 评论: 0
问题 患者,男性,7岁,发现双眼视力差1个月。Vod?0.3,Tod?33mmHg,Vos?0.4,Tos?27mmHg,双眼无充血,角膜透明,前房轴深2.5C.T.,房水清,虹膜基质薄,瞳孔异位,右眼1点周边部虹膜有裂孔,周边虹膜不规则前粘连,晶状体透明。正确的诊断应该是
选项 A.原发性婴幼儿型青光眼 B.虹膜角膜内皮综合征 C.Axenfeld-Rieger综合征 D.葡萄膜炎继发青光眼 E.Peter异常
答案 C
解析 :该题是临床综合分析题。患者是7岁儿童,无眼红、眼痛病史,双眼眼压高,伴有虹膜和瞳孔的发育异常,无眼前段炎症的表现,应为Axenfeld-Rieger综合征,属于青光眼合并先天异常。

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