CAJ | 학술논문

目的采用眼前节全景OCT研究带活塞瓣的角膜溃疡发生隐匿性穿孔情况,为临床诊治提供依据.方法对2005年6月至2013年6月在深圳市眼科医院就诊的角膜溃疡发生隐匿性穿孔患者11例(12只眼),采用眼前节全景OCT观察带活塞瓣的角膜溃疡,并测量活塞瓣大小.当活塞瓣开放时,角膜溃疡内口有房水渗漏,为溪流试验阳性;当活塞瓣关闭时,角膜溃疡内口关闭,为溪流试验阴性.结果眼前节全景OCT测量发生隐匿性穿孔角膜溃疡的活塞瓣,最小为0.69 mm,最大为1.52mm,平均为(1.052±0.27) mm.结论对带活塞瓣的角膜溃疡发生隐匿性穿孔患者进行眼前节全景OCT检查,有助于确诊角膜溃疡穿孔,可有效降低漏诊率及误诊率,对于评估患者的预后及手术方案的设计亦有重要作用.
목적 채용안전절전경OCT연구대활새판적각막궤양발생은닉성천공정황,위림상진치제공의거.방법 대2005년6월지2013년6월재심수시안과의원취진적각막궤양발생은닉성천공환자11례(12지안),채용안전절전경OCT관찰대활새판적각막궤양,병측량활새판대소.당활새판개방시,각막궤양내구유방수삼루,위계류시험양성;당활새판관폐시,각막궤양내구관폐,위계류시험음성.결과 안전절전경OCT측량발생은닉성천공각막궤양적활새판,최소위0.69 mm,최대위1.52mm,평균위(1.052±0.27) mm.결론 대대활새판적각막궤양발생은닉성천공환자진행안전절전경OCT검사,유조우학진각막궤양천공,가유효강저루진솔급오진솔,대우평고환자적예후급수술방안적설계역유중요작용.
Objective To study the occult perforation in corneal ulcer with piston by anterior segment OCT,and provide the basis for clinical diagnosis and treatment.Methods Eleven cases (12 eyes) diagnosed as the occult perforation in corneal ulcer with piston valve in Shenzhen Eye Hospital of Jinan University from June 2005 to June 2013,were observed by Anterior segment OCT.Piston valve size was measured.When the piston valve was open and there was aqueous leakage from the inside hole of corneal ulcer,it was defined as fluorescein streams test positive.When the piston valve was closed and the inside hole of corneal ulcer was closed,it was negative as fluorescein streams test positive.Results Anterior segment OCT panoramic corneal ulcer perforation occurred occult piston valve,The minimum of 0.69mm,the maximum of 1.52mm,average of that was 1.05 ± 0.27mm.Conclusions It is helpful to identify occult perforation in corneal ulcer with piston by anterior segment OCT,and have an important role for the assessment of the patient's prognosis and surgery program design.