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
2013年
1期
22-25
,共4页
陈慧瑾%严钰洁%王欣%吴玲玲
陳慧瑾%嚴鈺潔%王訢%吳玲玲
진혜근%엄옥길%왕흔%오령령
青光眼,闭角型,原发性%高坪虹膜
青光眼,閉角型,原髮性%高坪虹膜
청광안,폐각형,원발성%고평홍막
Glacoma,angle closure,primary%Platau iris
目的 比较原发急性闭角型青光眼(APACG)与慢性闭角性青光眼(CACG)激光虹膜周边切开术后高坪虹膜比例的差异.方法 37例(37眼)APACG和29例(29眼)CACG纳入本项研究.APACG组选择急性发作眼的对侧眼作为被研究眼；CACG组选择病情较轻、虹膜周边前粘连小于90°的一侧眼作为被研究眼.所有被研究眼在激光虹膜周边切开术后1个月进行暗室超声生物显微镜(UBM)检查,检查前至少停止使用毛果芸香碱滴眼液1周以上.UBM判读某一象限存在高坪虹膜的标准包括:睫状体前旋,睫状沟消失,虹膜成角,中央虹膜平面平坦,接触性房角关闭.至少有2个以上象限符合上述标准方可诊断被研究眼具有高坪虹膜.结果 CACG组29例中12例(41.4％)符合高坪虹膜诊断标准；APACG组37例中7例(18.9％)符合高坪虹膜诊断标准.差异具有统计学意义(P =0.045).结论 CACG组较APACG组在激光虹膜周边切开术后有更多的患眼具有高坪虹膜.
目的 比較原髮急性閉角型青光眼(APACG)與慢性閉角性青光眼(CACG)激光虹膜週邊切開術後高坪虹膜比例的差異.方法 37例(37眼)APACG和29例(29眼)CACG納入本項研究.APACG組選擇急性髮作眼的對側眼作為被研究眼；CACG組選擇病情較輕、虹膜週邊前粘連小于90°的一側眼作為被研究眼.所有被研究眼在激光虹膜週邊切開術後1箇月進行暗室超聲生物顯微鏡(UBM)檢查,檢查前至少停止使用毛果蕓香堿滴眼液1週以上.UBM判讀某一象限存在高坪虹膜的標準包括:睫狀體前鏇,睫狀溝消失,虹膜成角,中央虹膜平麵平坦,接觸性房角關閉.至少有2箇以上象限符閤上述標準方可診斷被研究眼具有高坪虹膜.結果 CACG組29例中12例(41.4％)符閤高坪虹膜診斷標準；APACG組37例中7例(18.9％)符閤高坪虹膜診斷標準.差異具有統計學意義(P =0.045).結論 CACG組較APACG組在激光虹膜週邊切開術後有更多的患眼具有高坪虹膜.
목적 비교원발급성폐각형청광안(APACG)여만성폐각성청광안(CACG)격광홍막주변절개술후고평홍막비례적차이.방법 37례(37안)APACG화29례(29안)CACG납입본항연구.APACG조선택급성발작안적대측안작위피연구안；CACG조선택병정교경、홍막주변전점련소우90°적일측안작위피연구안.소유피연구안재격광홍막주변절개술후1개월진행암실초성생물현미경(UBM)검사,검사전지소정지사용모과예향감적안액1주이상.UBM판독모일상한존재고평홍막적표준포괄:첩상체전선,첩상구소실,홍막성각,중앙홍막평면평탄,접촉성방각관폐.지소유2개이상상한부합상술표준방가진단피연구안구유고평홍막.결과 CACG조29례중12례(41.4％)부합고평홍막진단표준；APACG조37례중7례(18.9％)부합고평홍막진단표준.차이구유통계학의의(P =0.045).결론 CACG조교APACG조재격광홍막주변절개술후유경다적환안구유고평홍막.
Objective To compare the prevalence of plateau iris in acute primary angle closure glaucoma (APACG) and chronic angle closure glaucoma (CACG) after laser peripheral iridotomy.Methods 37 cases (37 eyes) with APACG and 29 cases (29 eyes) with CACG were enrolled in the study.In APACG group,the fellow eyes of the eyes with acute attack were studied.In CACG group,eyes with less than 90° PAS were studied.UBM was used for all cases at one month after laser peripheral iridotomy and stopping pilocarpine eyedrops more than one week.Platau iris in a quadrant was defined by anteriorly directed ciliary body,absent ciliary sulcus,steep iris root from its point of insertion followed by a downward angulation,flat iris plane,and irido-angle contact.At least two quadrants had to fulfill these UBM criteria for an eye to be classified as having platau iris.Results 12 of 29 (41.4％) cases in CACG group fulfilled all the criteria for platau iris,while in APACG group,7 of 37 (18.9％) cases were diagnosed as platau iris.The difference was statistically significant (P =0.045) after laser peripheral iridotomy.Conclusion Platau iris has a higher prevalence in CACG than in APACG after laser peripheral iridotomy.
