一名62岁的黑人妇女接受了3种药物治疗，患有不受控制的慢性窄角型青光眼，对她的左眼进行了超声乳化非穿孔深层巩膜切除术。在手术期间，发现她具有长区域特征。她后来需要穿刺和结膜针刺，出现虹膜疝在椎管内穿刺，可以保守地减少。在出现窄角度和色素分散综合征的患者中，应怀疑长前小带特征。与该特征相关的高眼压和青光眼的管理尚未解决。本通讯讨论了这种罕见形式的青光眼的最佳行动。
A 62-year-old black woman with uncontrolled chronic narrow-angle glaucoma on 3-drug therapy underwent phaco-non-perforating deep sclerectomy of her left eye. During surgery it was revealed that she had long zonule trait. She later required goniopuncture and conjuntival needling, presenting an iris herniation in the goniopuncture that could be reduced conservatively. Long anterior zonule trait should be suspected in those patients presenting with a combination of narrow angle and pigment dispersion syndrome. The management of ocular hypertension and glaucoma associated to this trait is not protocolized. This communication discusses on the best action in this rare form of glaucoma.
