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在白内障手术后使用前段光学连贯断层扫描对伪脱皮综合征患者前段参数变化的评估
Aleksandra Wlaź1,2, Agnieszka Kustra3, Tin Aung4,5
1Department of Diagnostics and Microsurgery of Glaucoma, Medical University, Chmielna 1, 20-079, Lublin, Poland. aleksandra.wlaz@icloud.com.
Scientific reports
|April 9, 2024
概括
伪脱皮综合征 (PEX) 眼睛的白内障手术显示出较大的前腔深度和与对照眼睛相比,虹膜-角膜角度的开放. 这些变化可能会影响折射结果和手术后的眼内压力控制.
科学领域:
- 眼科医生 眼科 眼科
- 前段外科手术 前段外科手术
- 眼睛成像眼睛成像
背景情况:
- 伪剥皮综合征 (PEX) 影响眼睛结构,并可能影响手术结果.
- 白内障手术的目的是恢复视力,但可能会对PEX眼睛产生不同的影响.
研究的目的:
- 为了比较白内障手术后的眼睛前部细分参数与伪剥皮综合征 (PEX) 和对照眼睛.
- 为了评估前腔深度 (ACD) 和虹膜-角膜角度参数的变化后phacoemulsification.
主要方法:
- 一项前性比较研究,涉及98名接受眼内透镜植入法化治疗的患者.
- 扫描源前段光学连贯断层扫描 (AS-OCT) 用于在手术前和1周,1个月和3个月后测量ACD,角度开口距离 (AOD),轨道眼-虹膜空间区域 (TISA),轨道眼-虹膜角度 (TIA) 和透镜 (LV).
主要成果:
- 在手术前,PEX和PEXG眼睛的ACD,AOD和TISA比对照小,LV比对照大.
- 手术后3个月,所有虹膜-角膜参数和ACD在所有组都显著增加,没有跨组差异.
- 在PEX组中,ACD和LV在手术后1至3个月间显著增加,而在对照组中保持稳定. 在PEX/PEXG组中,ACD和虹膜-角膜参数的相对增加更高.
结论:
- 与对照组相比,AS-OCT在PEX和PEXG组的白内障手术后3个月显示,ACD和虹膜-角膜参数的相对增加显著更大.
- 在PEX/PEXG眼中观察到的前腔深化和虹膜-角膜角的开放,可能会在例行白内障手术后导致不同的折射结果和眼内压力控制.
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