CAJ | 학술논문

目的研究RetCam数字视网膜照相机探查新生儿各个象限前房角的可能性和适用范围.方法研究对象为新生儿重症监护室里的8例新生儿,表面麻醉后通过RetCamⅢ数字视网膜照相机对每例患儿的右眼进行各个象限前房角的拍照,在得到的图像上分析各个象限前房角的形态.结果 8只眼都能得到至少1个象限的RetCamⅢ下前房角图像.其中1只眼能够得到4个象限的前房角图像,4只眼能够得到2个象限的前房角图像,3只眼能够得到1个象限的前房角图像.7只眼可以获得鼻侧象限前房角图像,4只眼可以获得颞侧象限前房角图像,3只眼可以获得上方前房角图像,1只眼可以获得下方前房角图像.前房角的异常形态包括虹膜前附着、小梁网被不透明膜覆盖以及前房角血管.结论 RetCam数字视网膜照相机可以用于拍摄和记录新生儿局部前房角的形态.鼻侧前房角的图像最容易被获取.
목적 연구RetCam수자시망막조상궤탐사신생인각개상한전방각적가능성화괄용범위.방법 연구대상위신생인중증감호실리적8례신생인,표면마취후통과RetCamⅢ수자시망막조상궤대매례환인적우안진행각개상한전방각적박조,재득도적도상상분석각개상한전방각적형태.결과 8지안도능득도지소1개상한적RetCamⅢ하전방각도상.기중1지안능구득도4개상한적전방각도상,4지안능구득도2개상한적전방각도상,3지안능구득도1개상한적전방각도상.7지안가이획득비측상한전방각도상,4지안가이획득섭측상한전방각도상,3지안가이획득상방전방각도상,1지안가이획득하방전방각도상.전방각적이상형태포괄홍막전부착、소량망피불투명막복개이급전방각혈관.결론 RetCam수자시망막조상궤가이용우박섭화기록신생인국부전방각적형태.비측전방각적도상최용역피획취.
Objective To evaluate the application of the RetCam digital fundus camera in detecting the anterior chamber angle in newborn.Methods Eight newborns in NICU received RetCam Ⅲ examination under topical anesthesia.The right eye of each case was photographed and the images of the anterior chamber angle were obtained and evaluated.Results During the RetCam examination of the 8 eyes of the newborns,4 quadrants of the anterior chamber angle images were available in 1 eye; 2 quadrants of the anterior chamber angle images were available in 4 eyes; and 1 quadrant anterior chamber angle images were available in 3 eyes.Nasal quadrant of the anterior chamber angle was successfully detected in 7 eyes; temporal quadrant was detected in 4 eyes; superior quadrant was detected in 3 eyes; and inferior quadrant was detected in 1 eye.The abnormal findings included iris inserting anteriorly,translucent membrane covering the trabecular meshwork,and vessels in the anterior chamber angle.Conclusions RetCam digital fundus camera plays a good role in detecting the anterior chamber angle in newborn.The image of the nasal quadrant of anterior chamber angle tends to be easier to be captured by RetCam compared with other quadrants.