CAJ | 학술논문

目的探讨穿透性角膜移植术后青光眼的发病机制,为其诊治提供依据.方法采用超声生物显微镜对穿透性角膜移植术后青光眼的病例52例52只眼进行眼前段检查,对其发生的可能发病机制进行分析,并根据扫描图像进行了初步分型,根据不同发生机制选择治疗方案.结果穿透性角膜移植术后青光眼,根据UBM检查,可分为前房角粘连关闭型、虹膜与植片与植床连结处粘连型、无虹膜型、瞳孔阻滞型、睫状体水肿型及其它类型等.针对不同发病机制采取药物治疗、虹膜周边切除、虹膜粘连分离、小梁切除(或联合抗代谢药物)及房水引流物植入术等治疗方案.结论穿透性角膜移植术后青光眼的发病机制多样.采用超声生物显微镜检查能够为其术后青光眼的诊治提供临床依据.
목적 탐토천투성각막이식술후청광안적발병궤제,위기진치제공의거.방법 채용초성생물현미경대천투성각막이식술후청광안적병례52례52지안진행안전단검사,대기발생적가능발병궤제진행분석,병근거소묘도상진행료초보분형,근거불동발생궤제선택치료방안.결과 천투성각막이식술후청광안,근거UBM검사,가분위전방각점련관폐형、홍막여식편여식상련결처점련형、무홍막형、동공조체형、첩상체수종형급기타류형등.침대불동발병궤제채취약물치료、홍막주변절제、홍막점련분리、소량절제(혹연합항대사약물)급방수인류물식입술등치료방안.결론 천투성각막이식술후청광안적발병궤제다양.채용초성생물현미경검사능구위기술후청광안적진치제공림상의거.
Objeetive To investigate the mechanism of post-penetrating keratophasty glaucoma(PPKG)with Ultrasound biomicroscope(UBM)and provide clinical basis of diagnosis and treatment for PPKG.Methods Fifty-two eyes of 52 patients suffering from PPKG was examined with UBM.The anterior segments were evaluated and possible mechanism were analyzed.Results According to the pathogenic mechanisms.PPKG could be divided into six types:goniosynechia of anterior chamber angle,synechia between iris and the connection of donor graft/recipient bed,aniridia,papillary block,swelling ciliary body and others.In actordance with this classification,we performed medicine therapy,peripheral iridectomy,posterior synchia separating,trabeculectomy,and valve implantation.Conclusions PPKG has a complex pathogenic mechanism.It is usefulto examineanterior segments with UBM.