10年来主要角度关闭疾病视野进展的危险因素:CUPAL研究
Ruyue Shen1,2, Poemen P Chan1,2,3, Anni Ling1,2
1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China.
Investigative ophthalmology & visual science
|July 22, 2025
概括
监测眼内压力波动和初始视野指数斜率是管理初级视角关闭疾病进展的关键. 早期检测初级视角闭眼和疑似/初级视角闭眼的视野变化指导了量身定制的治疗策略.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 视觉场分析 视觉场分析
背景情况:
- 主要角关闭性疾病 (PACD) 涵盖了一系列疾病,包括主角关闭性疑似病 (PACS),主角关闭性病 (PAC) 和主角关闭性玻璃眼 (PACG).
- 了解PACD视野 (VF) 进展的长期风险因素对于有效的疾病管理和预防不可逆转的视力丧失至关重要.
研究的目的:
- 确定与视野 (VF) 进展相关的长期风险因素,主要视角关闭疾病 (PACD) 的眼睛.
- 具体分析主要角关闭疑似 (PACS),主要角关闭 (PAC) 和主要角关闭玻璃眼 (PACG) 亚型中的风险因素.
主要方法:
- 分析了至少10年随访时间的PACD眼睛队列.
- 每6个月评估一次视野,使用汉弗里场分析仪24-2模式.
- 考克斯的比例危险回归模型被用于确定VF进展的风险因素,考虑初始眼内压力 (IOP) 波动和初始视野指数 (VFI) 斜率.
主要成果:
- 31.0%的PACD眼睛 (40/129) 显示VF进展.
- 在PACG眼中,更高的IOP波动 (HR=1.591) 和更的初始VFI斜率 (HR=3.325) 是导致VF进展的显著风险因素.
- 在PACS/PAC眼中,较的初始VFI斜率 (HR=4.848) 与VF进展有关.
结论:
- 更高的眼内压力 (IOP) 波动和更的初始视野指数 (VFI) 斜率是初级视角闭合光眼 (PACG) 中VF进展的显著预测因素.
- 较的初始VFI斜率是主要视角闭眼 (PACS) 和主要视角闭眼 (PAC) 眼睛中VF进展的关键风险因素.
- 这些发现支持基于疾病严重程度和折射状况的PACD个性化管理策略,以监测关键进展指标.
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