| 超声乳化联合IOL植入治疗闭角型青光眼后眼前节结构变化 |
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| 引用本文： | 邓德勇,谢美娜,于丹丹,彭涛. 超声乳化联合IOL植入治疗闭角型青光眼后眼前节结构变化[J]. 国际眼科杂志, 2016, 16(3): 486-489. DOI: 10.3980/j.issn.1672-5123.2016.3.21 |
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| 作者姓名： | 邓德勇 谢美娜 于丹丹 彭涛 |
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| 作者单位： | 武警浙江省总队嘉兴医院眼科,中国浙江省嘉兴市,314000 |
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| 基金项目： | 嘉兴市科技局资助项目(No.2010AY1058) |
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| 摘 要： | 目的:通过Pentacam眼前节分析系统检测急慢性原发性闭角型青光眼(primary angle-closure glaucoma,PACG)超声乳化手术前后前房结构变化,探讨影响不同类型PACG临床治疗效果的因素.方法:PACG患者163例178眼,其中急性PACG (APACG)87例92眼、慢性PACG (CPACG) 76例86眼,均行超声乳化晶状体吸除人工晶状体植入,根据病情辅以房角分离.比较手术前和术后6mo视力、眼压、前房角镜检查结果以及Pentacam检测的中央前房深度(ACD,单位mm)、前房容积(ACV,单位μm3)、前房角(ACA,单位°,下同).结果:APACG与CPACG术后眼压均显著下降(P＜0.Ol),APACG为51.17±6.58mmHg vs 14.32±2.66mmHg,CPACG为33.25±5.45mmHg vs 15.86±3.54mmHg,且APACG降压效果优于CPACG(P＜O.05).两组患者术后视力均改善明显(P＜0.01),APACG视力改善要优于CPACG(P＜0.05).术后房角镜检查,两组患者房角均显著增宽,房角粘连显著改善.Pentacam显示术后所有APACG和CPACG患者ACD、ACV和ACA均较术前明显增加(P＜0.01);APACG:ACD为2.83±0.10mm vs l.69±0.14mm,ACV为145.85士14.36μm3 vs 68.34±14.02μm3,ACA为30.50°±4.23° vs 18.28°±4.46°;CPACG:ACD为2.82±0.10mm vs 1.96±0.20mm,ACV为141.28±14.64μm3 vs88.19±15.86μm3,ACA为31.65°±4.62°vs 22.03°±4.48°.术前APACG组患者ACD、ACV和ACA均显著低于CPACG组(P＜0.01),而术后除ACV外,ACD、ACA未显示出统计学差异(P＞0.05).两组患者ACD、ACV和ACA术前术后的变化值也有显著统计学差异(P＜0.Ol).结论:Pentacam能有效观察PACG行超声乳化白内障吸除联合人工晶状体植入前后的眼前节结构变化,提示眼前节结构可能与PACG发病机制密切相关,其变化是超声乳化能显著改善PACG症状的重要原因.超声乳化联合人工晶状体植入治疗急慢性PACG不同的临床效果可能与其不同发病机制密切相关.
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| 关 键 词： | Pentacam 眼前节结构 闭角型青光眼 超声乳化手术 |
| 收稿时间： | 2015-10-21 |
| 修稿时间： | 2016-02-24 |
Changes of anterior segment in patients with primary angle-closure glaucoma treated with phacoemulsification and intraocular lens implantation detected by Pentacam |
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| De-Yong Deng,Mei-Na Xie,Dan-Dan Yu and Tao Peng. Changes of anterior segment in patients with primary angle-closure glaucoma treated with phacoemulsification and intraocular lens implantation detected by Pentacam[J]. International Eye Science, 2016, 16(3): 486-489. DOI: 10.3980/j.issn.1672-5123.2016.3.21 |
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| Authors: | De-Yong Deng Mei-Na Xie Dan-Dan Yu Tao Peng |
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| Affiliation: | Department of Ophthalmology, Jiaxing Hospital of Zhejiang Crops of Chinese People's Armed Police Forces, Jiaxing 314000,Zhejiang Province,China;Department of Ophthalmology, Jiaxing Hospital of Zhejiang Crops of Chinese People's Armed Police Forces, Jiaxing 314000,Zhejiang Province,China;Department of Ophthalmology, Jiaxing Hospital of Zhejiang Crops of Chinese People's Armed Police Forces, Jiaxing 314000,Zhejiang Province,China;Department of Ophthalmology, Jiaxing Hospital of Zhejiang Crops of Chinese People's Armed Police Forces, Jiaxing 314000,Zhejiang Province,China |
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| Abstract: | |
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| Keywords: | Pentacam anterior segment angle-closure glaucoma phacoemulsification |
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