中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2010年
12期
1110-1114
,共5页
吴慧娟%任泽钦%鲍永珍%侯宪如%胡亦文
吳慧娟%任澤欽%鮑永珍%侯憲如%鬍亦文
오혜연%임택흠%포영진%후헌여%호역문
体层摄影术,光学相干%激光疗法%虹膜切除术%青光眼,闭角型%眼前半段
體層攝影術,光學相榦%激光療法%虹膜切除術%青光眼,閉角型%眼前半段
체층섭영술,광학상간%격광요법%홍막절제술%청광안,폐각형%안전반단
Tomography,optical coherence%Laser therapy%Iridectomy%Glaucoma,angleclosure%Anterior eye segment
目的 评价Pentacam 眼前节分析系统的临床应用价值.方法 自身对照研究.33例(61只眼)原发性闭角型青光眼和原发性房角关闭患者,在接受掺钕钇铝石榴石激光周边虹膜切除术前及术后,应用Pentacam眼前节分析系统进行眼前节摄像和图像分析,同时分别测定患者眼前房相关量化指标.激光周边虹膜切除术前后各检测参数的变化比较采用配对t检验.结果 Pentacam眼前节分析系统能够清晰显示激光治疗前后眼前节结构变化,如虹膜变平坦及周边前房加深.患者术后平均眼前房容积(94.10±18.42)mm3(t=-15.928);最小前房角(24.93±4.53).(t=-5.087);周边前房深度:颞侧(1.23±0.23)mm(t=-17.399),上方(1.03±0.20)mm(t=-10.629),鼻侧(0.99±0.21)mm(t=-12.576),下方(1.16±0.24)mm(t=-14.474);上述参数与术前比较均明显增加,差异有统计学意义(均P＜0.01).其中前房容积从术前的(74.10±16.35)mm3增加到术后的(94.10±18.42)mm3,周边前房深度的增加幅度为0.17 mm(鼻侧)至0.29 mm(颞侧);而中央前房深度较术前无明显增加.结论 Pentacam眼前节分析系统可定性和定量反映原发性闭角型青光眼和原发性房角关闭眼激光周边虹膜切除术后前房形态和参数的变化.
目的 評價Pentacam 眼前節分析繫統的臨床應用價值.方法 自身對照研究.33例(61隻眼)原髮性閉角型青光眼和原髮性房角關閉患者,在接受摻釹釔鋁石榴石激光週邊虹膜切除術前及術後,應用Pentacam眼前節分析繫統進行眼前節攝像和圖像分析,同時分彆測定患者眼前房相關量化指標.激光週邊虹膜切除術前後各檢測參數的變化比較採用配對t檢驗.結果 Pentacam眼前節分析繫統能夠清晰顯示激光治療前後眼前節結構變化,如虹膜變平坦及週邊前房加深.患者術後平均眼前房容積(94.10±18.42)mm3(t=-15.928);最小前房角(24.93±4.53).(t=-5.087);週邊前房深度:顳側(1.23±0.23)mm(t=-17.399),上方(1.03±0.20)mm(t=-10.629),鼻側(0.99±0.21)mm(t=-12.576),下方(1.16±0.24)mm(t=-14.474);上述參數與術前比較均明顯增加,差異有統計學意義(均P＜0.01).其中前房容積從術前的(74.10±16.35)mm3增加到術後的(94.10±18.42)mm3,週邊前房深度的增加幅度為0.17 mm(鼻側)至0.29 mm(顳側);而中央前房深度較術前無明顯增加.結論 Pentacam眼前節分析繫統可定性和定量反映原髮性閉角型青光眼和原髮性房角關閉眼激光週邊虹膜切除術後前房形態和參數的變化.
목적 평개Pentacam 안전절분석계통적림상응용개치.방법 자신대조연구.33례(61지안)원발성폐각형청광안화원발성방각관폐환자,재접수참녀을려석류석격광주변홍막절제술전급술후,응용Pentacam안전절분석계통진행안전절섭상화도상분석,동시분별측정환자안전방상관양화지표.격광주변홍막절제술전후각검측삼수적변화비교채용배대t검험.결과 Pentacam안전절분석계통능구청석현시격광치료전후안전절결구변화,여홍막변평탄급주변전방가심.환자술후평균안전방용적(94.10±18.42)mm3(t=-15.928);최소전방각(24.93±4.53).(t=-5.087);주변전방심도:섭측(1.23±0.23)mm(t=-17.399),상방(1.03±0.20)mm(t=-10.629),비측(0.99±0.21)mm(t=-12.576),하방(1.16±0.24)mm(t=-14.474);상술삼수여술전비교균명현증가,차이유통계학의의(균P＜0.01).기중전방용적종술전적(74.10±16.35)mm3증가도술후적(94.10±18.42)mm3,주변전방심도적증가폭도위0.17 mm(비측)지0.29 mm(섭측);이중앙전방심도교술전무명현증가.결론 Pentacam안전절분석계통가정성화정량반영원발성폐각형청광안화원발성방각관폐안격광주변홍막절제술후전방형태화삼수적변화.
Objective To evaluate the anterior segment parameters in early primary angle-closure glaucoma (PACG) and primary angle closure (PAC) eyes before and after neodymium: yttrium aluminum garnet (Nd:YAG) laser periphery iridectomy (LPI) by using Pentacam system. Methods Self-coutrol study. Sixty one eyes of 33 patients were recruited into this study. The images of the anterior segment of the eye were captured and the parameters[I.e. The anterior chamber ( AC ) volume, the central AC depth, the peripherial AC depth, the peripherial AC angle and the pupil size]were measured by the Pentaeam system pre-operatively and 1 week after laser treatment. Results The Pentacam system clearly showed the structure changes of the anterior segment after LPI ( I. E. The convex configuration of the iris was flattened and the peripherial AC depth was deepened). The average AC volume( t = 15. 928 ), the peripherial AC depth( t =- 17. 399, - 10. 629, - 12. 576, - 14. 474 ) and the peripherial AC angle( t = - 5. 087 ) were increased significantly (P ＜0. 01 ) after LPI. The AC volume was (74. 10 ± 16.35 ) mm3 before LPI and (94. 10 ±18.42) mm3 after LPI, and the increases of peripherial AC depth were 0. 17 mm (nasal) and 0. 29 mm (temporal). There was no statistical significant changes in the AC depth before and after LPI. Conclusion In patients with PACG and PAC, the changes of AC after LPI can be demonstrated by the Pentacam qualitatively and quantitatively.
