中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2014年
6期
426-429
,共4页
李志新%卞晓芸%闫志鹏
李誌新%卞曉蕓%閆誌鵬
리지신%변효예%염지붕
系统,分析,Pentacam,三维,眼前段,综合%手术,联合,青光眼,白内障%深度,前房%容积,前房%前房角
繫統,分析,Pentacam,三維,眼前段,綜閤%手術,聯閤,青光眼,白內障%深度,前房%容積,前房%前房角
계통,분석,Pentacam,삼유,안전단,종합%수술,연합,청광안,백내장%심도,전방%용적,전방%전방각
System,analysis,Pentacam,three-dimensional,anterior segment%Surgery,combined,glaucoma,cataract%Depth,chamber,anterior%Volume,chamber,anterior%Angle,chamber,anterior
目的 探讨Pentacam综合眼前段三维分析系统在闭角型青光眼的早期筛查和青光眼白内障联合手术疗效量化评价方面的意义.方法 60岁以上志愿者25人(25眼),为正常对照组,原发性急性闭角型青光眼25例(25眼)和原发性慢性闭角型青光眼25例(25眼),应用Pentacam综合眼前段三维分析系统测量前房形态参数(前房深度、前房容积、前房角),并分别与青光眼白内障联合手术前与术后1d、7d、30 d测量的前房形态参数:前房深度、前房容积、前房角进行比较.结果 正常对照组前房形态参数的测量值均大于原发性急、慢性闭角型青光眼两个组,差异均有统计学意义;青光眼两组之间比较,差异无统计学意义.两个青光眼组在青光眼白内障联合手术后各时间点前房深度较术前均加深,前房容积较术前均变大,前房角较术前均增宽,差异均有统计学意义.结论 Pentacam综合眼前段三维分析系统可以用来量化评价青光眼白内障联合手术后的眼前段形态的变化,为预后的评估提供参考.
目的 探討Pentacam綜閤眼前段三維分析繫統在閉角型青光眼的早期篩查和青光眼白內障聯閤手術療效量化評價方麵的意義.方法 60歲以上誌願者25人(25眼),為正常對照組,原髮性急性閉角型青光眼25例(25眼)和原髮性慢性閉角型青光眼25例(25眼),應用Pentacam綜閤眼前段三維分析繫統測量前房形態參數(前房深度、前房容積、前房角),併分彆與青光眼白內障聯閤手術前與術後1d、7d、30 d測量的前房形態參數:前房深度、前房容積、前房角進行比較.結果 正常對照組前房形態參數的測量值均大于原髮性急、慢性閉角型青光眼兩箇組,差異均有統計學意義;青光眼兩組之間比較,差異無統計學意義.兩箇青光眼組在青光眼白內障聯閤手術後各時間點前房深度較術前均加深,前房容積較術前均變大,前房角較術前均增寬,差異均有統計學意義.結論 Pentacam綜閤眼前段三維分析繫統可以用來量化評價青光眼白內障聯閤手術後的眼前段形態的變化,為預後的評估提供參攷.
목적 탐토Pentacam종합안전단삼유분석계통재폐각형청광안적조기사사화청광안백내장연합수술료효양화평개방면적의의.방법 60세이상지원자25인(25안),위정상대조조,원발성급성폐각형청광안25례(25안)화원발성만성폐각형청광안25례(25안),응용Pentacam종합안전단삼유분석계통측량전방형태삼수(전방심도、전방용적、전방각),병분별여청광안백내장연합수술전여술후1d、7d、30 d측량적전방형태삼수:전방심도、전방용적、전방각진행비교.결과 정상대조조전방형태삼수적측량치균대우원발성급、만성폐각형청광안량개조,차이균유통계학의의;청광안량조지간비교,차이무통계학의의.량개청광안조재청광안백내장연합수술후각시간점전방심도교술전균가심,전방용적교술전균변대,전방각교술전균증관,차이균유통계학의의.결론 Pentacam종합안전단삼유분석계통가이용래양화평개청광안백내장연합수술후적안전단형태적변화,위예후적평고제공삼고.
Objective To investigate the application of Pentacam anterior segment system in the early screening of angel-closure glaucoma and the quantitative evaluation of combined glaucoma and cataract surgery.Methods The Pentacam anterior segment analysis system was applied in 25 senile volunteers (25 eyes),25 acute angle closure glaucoma and cataract patients(25 eyes),and 25 chronic angle closure glaucoma and cataract patients (25 eyes).The morphological parameters of anterior chamber,including anterior chamber depth (ACD),anterior chamber volume (ACV) and anterior chamber angle (ACA),were measured.They were compared with the paramenters 1 d,7 d,30 d after combined glaucoma and cataract surgery respectively.Results The three parameters were significantly higher in senile volunteers than that of patients in the two glaucoma groups,the differences had statistical significance.There were no significant differences in three parameters between the two glaucoma groups.The three parameters significantly increased after combined glaucoma and cataract surgery compared with that of preoperation in two glancoma groups.Conclusion The Pentacam anterior segment analysis system can quantitatively evaluate the changes of morphological parameters of ocular anterior segment after combined cataract and glaucoma surgery,providing reference for the evaluation of prognosis.
