搏動性眼球突出症の2症例

Two Cases of the Pulsating Exophthalmus.

I．緒言

　搏動性眼球突出症は，1813年Traversが，始めて記載し，その後Sattlerが352例の多数例につき種々の考察を試み，本邦でも現在迄，約46例の報告がある。又最近では本誌18巻誌上で，宇山氏等や小島氏等が，本症の知見及び統計等を詳細に報じ，本症の本態はCarotid-cavernousfistulaであり，特発性と外傷性とに分けられている。

　我々は特発性と外傷性の各1例に遭遇し経過を観察する機会を得ましたので報告する。

A report is presented on two cases of pul-sating exophthalmus, the one being idiopath-ic and the other of posttraumatic origin.

The first cast a female of 57 years of age, developed idiopathic pulsating exophthalmus of her left eye after suffering from systemichypertension for 3 years. Two months later the patient developed secondary glaucoma on the same side. Both exophthalmus and glau-coma could completely be cured after five months of medical therapy without surgical intervention.

The second case,a male of 29 years of age, developed pulsating exophthalmus 4 months after head injury through traffic accident.