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首页> 外文期刊>BMC Ophthalmology >Acute emotional stress as a trigger for intraocular pressure elevation in Glaucoma
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Acute emotional stress as a trigger for intraocular pressure elevation in Glaucoma

机译：急性情绪应激是青光眼眼压升高的诱因

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Stress-induced activation of the sympathetic nervous system leads to a cascade of metabolic reactions. Emotional stress is a more specific form of stress in which the stressor is a psychological response to a situation subjectively perceived as traumatic. Stress hormones can have a wide range of effects on the body, however, it is still unclear if and how it can affect ophthalmic physiology. This report presents a case of severe ocular hypertension in which emotional stress was the only cause elicited, and explores potential aggravating factors. A 78-year-old, personality type A, lady with a history of pseudo-exfoliative glaucoma presented with an acute asymmetrical raise in intraocular pressure (IOP) immediately following a family breakdown. Her IOP had previously remained stable following a deep sclerectomy in the right eye and an Ex-PRESS shunt in the left eye. Her examination was entirely normal otherwise, with a patent filtration and diffuse bleb as confirmed with anterior segment OCT imaging. Near-normalisation of her IOP was observed within 24?h, concomitantly with the reduction of her stress levels. No other cause for the transient acute hypertensive episode were found. This case report suggests that acute emotional stress could severely affect IOP in patients suffering from glaucoma. This could be important when looking after glaucoma patients. It would also suggest that the personnality types, and the emotional and social context are more factors to take into account in glaucoma studies. These observations are based on a single case report and would need to be verified on a larger scale.
机译：应激诱导的交感神经系统活化导致一系列新陈代谢反应。情绪压力是一种更具体的压力形式，其中压力源是对主观上认为是创伤的情况的心理反应。压力荷尔蒙可以对人体产生广泛的影响，但是，尚不清楚它是否以及如何影响眼科生理。本报告介绍了一例严重的高眼压症，其中引起情绪压力的唯一原因，并探讨了潜在的加重因素。一位具有假性剥脱性青光眼病史的78岁，女性型A女士在家庭破裂后立即出现眼内压（IOP）急性不对称升高。右眼深层巩膜切除术和左眼Ex-PRESS分流术后，她的IOP一直保持稳定。否则，她的检查是完全正常的，前段OCT成像证实有专利过滤和弥漫性起泡。在24小时内观察到她的IOP接近正常，同时伴随着压力水平的降低。未发现导致短暂性急性高血压发作的其他原因。该病例报告表明，急性情绪压力可能严重影响青光眼患者的眼压。这在照顾青光眼患者时可能很重要。这也表明，在青光眼研究中，人格类型，情感和社会背景是更多要考虑的因素。这些观察结果基于单个病例报告，因此需要进行更大范围的验证。

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