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Comparison of ultrasound biomicroscopy and spectraldomain anterior segment optical coherence tomography in evaluation of anterior segment after laser peripheral iridotomy 被引量:2
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作者 Xiao-Yun Ma Dan Zhu +2 位作者 Jun Zou Wen-Jie Zhang Yi-Lin Cao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2016年第3期417-423,共7页
AIM:To quantitatively assess narrow anterior chamber angle using spectral-domain anterior segment optical coherence tomography(SD-AS-OCT) and ultrasound biomicroscopy(UBM),and to evaluate the correlations and con... AIM:To quantitatively assess narrow anterior chamber angle using spectral-domain anterior segment optical coherence tomography(SD-AS-OCT) and ultrasound biomicroscopy(UBM),and to evaluate the correlations and consistency between SD-AS-OCT and UBM.· METHODS:Fifty-five eyes from 40 patients were examined.Patients were diagnosed with primary angleclosure glaucoma(PACG) remission(11 eyes from 8patients),primary angle closure(PAC,20 eyes from 20patients) and PAC suspect(24 eyes from 12 patients).Each eye was examined by SD-AS-OCT and UBM after laser peripheral iridotomy(LPI).The measurements of SD-AS-OCT were angle open distance(AOD),anterior chamber angle(ACA),trabecular iris angle(TIA),and trabecular iris space area(TISA).UBM measurements were AOD and TIA.Correlations of AOD500 and TIA500 between UBM and AS-OCT were assessed.All parameters were analysed by SPSS 16.0 and MedCalc.· RESULTS:ACA,TIA and AOD measured by SD-ASOCT reached a maximum at the temporal quadrant and minimum at the nasal quadrant.Group parameters of AOD500 and AOD750 showed a linear positive correlation,and AOD750 had less variability.UBM outcomes of AOD500 and TIA500 were significantly smaller than those of SD-AS-OCT.The results of the two techniques were correlated at the superior,nasal and inferior quadrants.CONCLUSION:Both UBM and SD-AS-OCT are efficient tools for follow-up during the course of PACG.We recommended using parameters at 750 μm anterior to the sclera spur for the screening and follow-up of PACG and PAC.The two methods might be alternatives to each other. 展开更多
关键词 primary angle-closure glaucoma ultrasoundbiomicroscopy spectral-domain anterior segment opticalcoherence tomography laser peripheral iridotomy
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手术后角膜后弹力层脱离的原因分析和治疗 被引量:4
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作者 吴利安 王从毅 +1 位作者 杨文 杨新光 《中华眼外伤职业眼病杂志》 2015年第6期419-423,共5页
目的探讨内眼手术后角膜后弹力层脱离的原因及治疗措施。方法回顾性分析术后角膜后弹力层脱离15例(15只眼),其中11只眼为晶状体超声乳化术后,1只眼为白内障囊外摘出术后,2只眼为抗青光眼小梁切除术后,1只眼为硅油取出术后。15只... 目的探讨内眼手术后角膜后弹力层脱离的原因及治疗措施。方法回顾性分析术后角膜后弹力层脱离15例(15只眼),其中11只眼为晶状体超声乳化术后,1只眼为白内障囊外摘出术后,2只眼为抗青光眼小梁切除术后,1只眼为硅油取出术后。15只眼均经眼前段光学相干断层成位(眼前段OCT)确定诊断为角膜后弹力层脱离。其中轻度脱离10只眼,中度脱离2只眼,重度脱离3只眼。12只眼轻、中度后弹力层脱离者于术后3d内行前房注气术(其中1只眼硅油取出后脱离者注入20%C3F8,其余11只眼为消毒空气)。3只眼重度脱离者,1只眼于术后2个月半行前房注气术,1只眼术后3个月行角膜内皮移植术,另1只眼重度脱离伴部分后弹力层脱失患者放弃手术。结果12只眼轻、中度脱离者中10只眼于术后3d内后弹力层复位,2只眼2次注气术后逐渐复位。3只眼重度脱离者中1只眼于术后1d角膜后弹力层复位,角膜基本透明;1只眼行角膜内皮移植术后内皮植片、植床贴附良好,角膜恢复部分透明;另1只眼重度脱离伴部分后弹力层脱失由于患者放弃手术治疗,发展为大疱性角膜病变。结论前段OCT是确诊的有效检查方法,角膜后弹力层复位的关键是实施有效的前房注气术,及彻底清除层间积液。角膜内皮移植术是有效的治疗方法。 展开更多
关键词 内皮 角膜 移植 后弹力层脱离 光学相干断层成像 眼前段 前房注气术
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