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在初级角关闭疾病谱中,在发酵后虹膜带接触和眼内压力的变化

Hoon Il Choi¹, Woo Keun Song¹, Kyung Rim Sung¹

¹Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Korean journal of ophthalmology : KJO

|August 18, 2024

概括

透镜提取改善了眼内压力 (IOP) 控制在初级角度闭合疾病 (PACD). PAC玻璃眼患者需要更多的药物,并且在手术后显示出较高的残留性 iridotrabecular 接触指数.

科学领域:

眼科医生眼科眼科
前段外科手术前段外科手术
玻璃眼研究研究玻璃眼研究

背景情况:

主要角关闭性疾病 (PACD) 涵盖了一系列疾病.
透镜提取是PACD的治疗选择之一.
评估术后结果对于管理PACD至关重要.

研究的目的:

为了在PACD中比较扫描源前段光学连贯性断层扫描 (SS AS-OCT) 参数和镜片提取后眼内压力 (IOP) 控制的变化.
评估不同严重程度的PACD的结果.

主要方法:

分析了92名接受透镜提取的PACD患者的92只眼睛.
术前和术后在多个时间点测量了内压.
SS AS-OCT是在手术前和手术后1个月进行的.
患者被分为PAC疑似/PAC (A组) 和PAC青光眼 (B组).

主要成果:

两个小组都显示了手术后前腔室角度的改善.
B组 (PAC青光瘤) 的残留性 iridotrabecular接触 (ITC) 指数显著更高 (10.7 ± 12.1 与 5.6 ± 7.0 相比).
较大的ITC指数变化与较大的IOP降低相关 (β = 0.429,p < 0.001).
B组在术后需要更多的青光眼药物 (0.9 ± 0.8 vs 0.2 ± 0.7).

结论:

患有PAC青光眼的眼睛在透镜提取后表现出更高的残留ITC指数.
与其他PACD光谱相比,PAC光眼患者需要更多的药物来保持IOP控制.
透镜提取有效地改变了PACD前部段的参数,但残留接触仍然是格洛科马管理的一个因素.

关键词:

前段光学连贯性断层扫描前段光学连贯性扫描白内障的提取方法白内障提取方法眼内压力眼内压力虹膜与皮膜之间的接触.主角关闭的主要角度关闭.

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