与昼夜节律相关的角膜和眼内压力变化:叙述性回顾
Laura Barberán-Bernardos1, Miguel Ángel Ariza-Gracia2, David P Piñero1,3
1Department of Optics, Pharmacology and Anatomy, University of Alicante, San Vicente del Raspeig 03690, Alicante, Spain.
International journal of ophthalmology
|October 21, 2024
概括
眼内压力 (IOP) 和中角膜厚度 (CCT) 每天都在下降,受昼夜节律的影响. 角质生物力学大多是稳定的,但形态学有所变化,需要进一步研究.
科学领域:
- 眼科医生 眼科 眼科
- 角膜生理学 角膜生理学
- 眼部生物力学 眼部生物力学
背景情况:
- 眼内压力 (IOP) 和角膜特性表现出每天的变化.
- 了解这些日常变化对于诊断和管理眼部疾病至关重要.
- 当前的研究综合了关于这些时间变化的发现.
研究的目的:
- 审查和综合研究日间IOP变化和角膜生物机械/形态参数的研究.
- 为了突出眼睛疾病中这些昼间变化的临床意义.
- 确定研究缺口,并建议未来的研究方向.
主要方法:
- 关于白天IOP和角膜参数变化的研究的综合文献综述.
- 测音仪检测结果的评估 (戈尔德曼平面测音仪,非接触式测音仪).
- 对中角膜厚度 (CCT),角膜曲率和生物力学 (眼响应分析仪) 数据的分析.
主要成果:
- IOP和CCT在健康患者和富克斯缩症患者中显示出显著的日间下降.
- 戈尔德曼平度计是可靠的,但受CCT的影响.
- 在角质和伪剥皮中观察到显著的日间IOP变化.
- 角膜歇斯底里症 (CH) 和角膜阻抗因子 (CRF) 一般是稳定的.
- 白天角膜形态变化,特别是曲率,显示出不同的结果.
结论:
- 昼夜节律显著影响IOP和CCT.
- 需要标准化研究方法和更大的样本大小.
- 建议进一步研究 ортокератология对白天生物机械轮班的影响.
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