国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
4期
650-653
,共4页
郭竞敏%许小兰%张虹%王军明
郭競敏%許小蘭%張虹%王軍明
곽경민%허소란%장홍%왕군명
房角关闭%对侧眼%可疑原发房角关闭%前节参数
房角關閉%對側眼%可疑原髮房角關閉%前節參數
방각관폐%대측안%가의원발방각관폐%전절삼수
angle closure%fellow eyes%primary angle-closure suspects%anterior segment parameters
目的：探讨原发闭角型青光眼单侧急性发作( acute angle closure glaucoma,AACG)的对侧眼、可疑原发房角关闭眼(primary angle closure suspects,PACS)和正常眼的前节生物学参数差异。<br> 方法：采用光学相干断层扫描( optical coherence tomography,OCT)和 Pentacam 三维眼前节分析诊断系统(pentacam scheimpflug system,Pentacam)完成26例26眼AACG对侧眼及与之年龄、性别匹配的28例28眼PACS和34例34眼正常眼的前节扫描。采用Pentacam获得以下参数：中央角膜厚度( CCT)、角膜容积( CV)、瞳孔直径( PD)、中央前房深度( CACD)、周边前房深度( PACD)、前房容积( CV )和房角度数( ACA )。应用图像处理软件和OCT测量虹膜厚度(IT750,IT2000),面积(IS)、体积(IV)和房角开放距离500( AOD500)进行。<br> 结果：角膜参数(CCT,CV),PD、虹膜参数(IT750,IT2000, IS,IV)无统计学差异( P>0.05)。与 AACG 对侧眼和PACS比较,正常人CACD和PACD更深, ACV更大, ACA和AOD500更宽敞( P<0.05)。 AACG对侧眼和PACS相比,各项前节解剖参数均无统计学差异(P>0.05)。以AACG对侧眼作为房角关闭好发的诊断标准,上述前房参数的受试者工作特征曲线下面积均小于0.7。<br> 结论：AACG对侧眼和PACS的前节生物学参数无显著差异,以此作为房角关闭好发的诊断精准度较低。
目的：探討原髮閉角型青光眼單側急性髮作( acute angle closure glaucoma,AACG)的對側眼、可疑原髮房角關閉眼(primary angle closure suspects,PACS)和正常眼的前節生物學參數差異。<br> 方法：採用光學相榦斷層掃描( optical coherence tomography,OCT)和 Pentacam 三維眼前節分析診斷繫統(pentacam scheimpflug system,Pentacam)完成26例26眼AACG對側眼及與之年齡、性彆匹配的28例28眼PACS和34例34眼正常眼的前節掃描。採用Pentacam穫得以下參數：中央角膜厚度( CCT)、角膜容積( CV)、瞳孔直徑( PD)、中央前房深度( CACD)、週邊前房深度( PACD)、前房容積( CV )和房角度數( ACA )。應用圖像處理軟件和OCT測量虹膜厚度(IT750,IT2000),麵積(IS)、體積(IV)和房角開放距離500( AOD500)進行。<br> 結果：角膜參數(CCT,CV),PD、虹膜參數(IT750,IT2000, IS,IV)無統計學差異( P>0.05)。與 AACG 對側眼和PACS比較,正常人CACD和PACD更深, ACV更大, ACA和AOD500更寬敞( P<0.05)。 AACG對側眼和PACS相比,各項前節解剖參數均無統計學差異(P>0.05)。以AACG對側眼作為房角關閉好髮的診斷標準,上述前房參數的受試者工作特徵麯線下麵積均小于0.7。<br> 結論：AACG對側眼和PACS的前節生物學參數無顯著差異,以此作為房角關閉好髮的診斷精準度較低。
목적：탐토원발폐각형청광안단측급성발작( acute angle closure glaucoma,AACG)적대측안、가의원발방각관폐안(primary angle closure suspects,PACS)화정상안적전절생물학삼수차이。<br> 방법：채용광학상간단층소묘( optical coherence tomography,OCT)화 Pentacam 삼유안전절분석진단계통(pentacam scheimpflug system,Pentacam)완성26례26안AACG대측안급여지년령、성별필배적28례28안PACS화34례34안정상안적전절소묘。채용Pentacam획득이하삼수：중앙각막후도( CCT)、각막용적( CV)、동공직경( PD)、중앙전방심도( CACD)、주변전방심도( PACD)、전방용적( CV )화방각도수( ACA )。응용도상처리연건화OCT측량홍막후도(IT750,IT2000),면적(IS)、체적(IV)화방각개방거리500( AOD500)진행。<br> 결과：각막삼수(CCT,CV),PD、홍막삼수(IT750,IT2000, IS,IV)무통계학차이( P>0.05)。여 AACG 대측안화PACS비교,정상인CACD화PACD경심, ACV경대, ACA화AOD500경관창( P<0.05)。 AACG대측안화PACS상비,각항전절해부삼수균무통계학차이(P>0.05)。이AACG대측안작위방각관폐호발적진단표준,상술전방삼수적수시자공작특정곡선하면적균소우0.7。<br> 결론：AACG대측안화PACS적전절생물학삼수무현저차이,이차작위방각관폐호발적진단정준도교저。
AIM: To explore the differences of anterior segment parameters in the patients with fellow eyes of unilateral acute angle-closure glaucoma ( AACG ) , primary angle-closure suspects ( PACS) and normal group. <br> METHODS: Twenty-six eyes of 26 patients with fellow eyes of AACG, 28 eyes of 28 age- and gender-matched PACS and 34 normal eyes were imaged using optical coherence tomography ( OCT) and pentacam scheimpflug system ( Pentacam ) . Anatomical parameters including central corneal thickness ( CCT ) , corneal volume ( CV ) , pupillary diameter ( PD ) , central anterior chamber depth ( CACD ) , peripheral anterior chamber depth ( PACD ) , anterior chamber volume ( ACV ) and anterior chamber angle ( ACA) were obtained from Pentacam. Iris thickness (IT750,IT2000), cross-sectional area (IS), volume (IV) and angle opening distance 500 (AOD500) were estimated using OCT combined with a computer image processing. Statistic analysis was performed with SPSS. <br> RESULTS: There were no significant differences in corneal parameters (CCT, CV), PD and iris values (IT750, IT2000, IS, IV) among the three groups (P> 0. 05). Compared with the fellow eyes of AACG and PACS, normal eyes had larger ACV, wider AOD500 and ACA, deeper CACD and PACD ( P < 0. 05 ). No anatomical difference was observed between the fellow eyes of AACG and PACS (P>0. 05). Using the fellow eyes of AACG as the standard to predict high risk of angle closure, areas under the receiver operating characteristic curve of the above parameters were all less than 0. 7. <br> CONCLUSION:All the anterior segment parameters are no different significantly between the fellow eyes of AACG and PACS. They may be notaccurate criteria for determining high risk group of PACS.
