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Two cases of bilateral acute angle-closure glaucoma after radical surgery for cervical cancer with general anesthesia

机译:全身麻醉后宫颈癌自由基手术后两侧双侧急性角度闭合青光眼

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Cervical cancer is one of the common malignant tumours in gynecology. So far, its global occurrence rate is the highest among malignancies of female's reproductive system and the death rate is the second highest. Glaucoma is a blinding condition which is characterized by pathological intraocular hypertension, or damage of optic disc and retinal nerve fibre layer, and glaucomatous visual change under normal intraocular pressure. Typical clinical manifestations are sudden rise of intraocular pressure along with headache, nausea, vomiting, halo vision, eye distension and blurred vision. Two main types of glaucoma are open-angle and angle-closure glaucoma. Primary acute angle-closure glaucoma is one of the emergencies in ophthalmology and is caused by the sudden rise of the intraocular pressure secondary to the difficulty of aqueous humor drainage from angle closure. Without timely treatments, the risk of blindness is extremely high. For the severe case, it can cause total blindness within a few days. Inappropriate treatments can also influence treatment effectiveness. It is worthwhile to investigate the causes of these two concurrent diseases which are hardly related. In this article, we report two cases where acute angle-closure glaucoma developed after the radical surgery of cervical cancer with general anesthesia. We discuss the possible causes with respect to gene, anatomical and physiological factors, psychological factors, and preoperative narcotics, aiming to serve as clinical reference.
机译:宫颈癌是妇科的常见恶性肿瘤之一。到目前为止,其全球生殖率是女性生殖系统恶性肿瘤中最高,死亡率是第二高的。青光眼是一种致盲条件,其特征在于病理眼性高血压,或视网膜和视网膜神经纤维层的损伤,以及正常的眼内压力下的肺菌视觉变化。典型的临床表现是眼内压的突然升高以及头痛,恶心,呕吐,晕圈视觉,眼睛扩散和模糊的视觉。两种主要类型的青光眼是开放角度和角度闭合的青光眼。初级急性角度闭合青光眼是眼科的紧急情况之一,并且是由突然升高的继发于角度闭合的幽默排水困难引起的。没有及时治疗,失明的风险极高。对于严重的情况,它可以在几天内造成总失明。不恰当的治疗也可以影响治疗效果。值得探讨这两种并发疾病的原因几乎与之相关的原因。在本文中,我们报告了两种案例,在宫颈癌的激进手术中发生了一般性麻醉后发生的急性角度闭合青光眼。我们讨论了关于基因,解剖和生理因素,心理因素和术前毒物的可能原因,旨在作为临床参考。

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