CAJ | 학술논문

目的：通过比较Pentacam测量的可疑房角关闭患者行激光周边虹膜切除术前后各项参数，探讨评价前房形态改变的敏感参数。 　　方法：诊断为可疑房角关闭并接受激光周边虹膜切除术治疗的患者33例60眼。患者术前及术后1 d行Pentacam检查，观察前房各项参数在激光前后的变化，进行配对 t检验。 　　结果：与术前相比较，中央前房深度差异无统计学意义，周边前房深度明显加深，差异有统计学意义；前房容积明显增加，差异有统计学意义。前房夹角变宽，从治疗前的(22.26°±5.18°)增加为治疗后的(26.42°±5.20°)，差异有统计学意义。 　　结论：激光周边虹膜切除术可以显著增加可疑房角关闭患眼的周边前房深度和前房容积，周边前房深度和前房容积可作为评价前房形态改变的敏感参数。
목적：통과비교Pentacam측량적가의방각관폐환자행격광주변홍막절제술전후각항삼수，탐토평개전방형태개변적민감삼수。 　　방법：진단위가의방각관폐병접수격광주변홍막절제술치료적환자33례60안。환자술전급술후1 d행Pentacam검사，관찰전방각항삼수재격광전후적변화，진행배대 t검험。 　　결과：여술전상비교，중앙전방심도차이무통계학의의，주변전방심도명현가심，차이유통계학의의；전방용적명현증가，차이유통계학의의。전방협각변관，종치료전적(22.26°±5.18°)증가위치료후적(26.42°±5.20°)，차이유통계학의의。 　　결론：격광주변홍막절제술가이현저증가가의방각관폐환안적주변전방심도화전방용적，주변전방심도화전방용적가작위평개전방형태개변적민감삼수。
?AlM:To investigate the sensitive parameters of the anterior chamber changes with Pentacam anterior segment analysis system before and after laser peripheral iridectomy (LPl) in primary angle-closure suspetive (PACS). ? METHODS: Sixty eyes of 33 PACS patients were enrolled in this study. Pentacam examination was performed before and 1d after LPl to measure the central anterior chamber depth ( CACD ) , the peripheral anterior chamber depth ( PACD ) , the anterior chamber volume ( ACV) and the peripheral anterior chamber angle ( ACA) . Statistical analysis used paired t test. ?RESULTS: There was no statistical significance on the changes of ACD. PACD and ACV increased significantly between before and 1d after LPl. ACA was widened from (22. 26o±5. 18o) to (26. 42o±5. 20o), which were increased significantly between before and 1d after LPl. ?CONCLUSlON: LPl can deepen the PACD and increase the ACV in PACS. PACD and ACV are the sensitive parameters of the anterior chamber changes with Pentacam anterior segment analysis system.