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在具有可遮蔽角度的眼睛中,视镜和超声波生物显微镜之间的诊断分歧

Naomi Mataki^1,2, Koichi Mishima^2,3, Makoto Araie⁴

¹Tajimi Iwase Eye Clinic, Gifu, Japan.

Journal of glaucoma

|December 16, 2025

概括

超声波生物显微镜 (UBM) 和视镜显示在角度关闭评估中的诊断不一致. 前腔和后腔的参数影响这些差异,影响临床角度关闭的决定.

科学领域:

眼科医生眼科眼科
解剖成像解剖成像解剖成像
诊断的准确性诊断的准确性

背景情况:

视角闭眼 (angle closure glaucoma) 是导致视力丧失的重要原因之一.
精确评估前腔角对于诊断和管理至关重要.
视镜和超声波生物显微镜 (UBM) 是角度评估的关键成像方式.

研究的目的:

为了调查视镜和UBM在分类隐蔽角度的诊断分歧.
识别与范赫里克等级2或以下眼睛诊断差异相关的因素.
分析前后室参数对角关闭评估的影响.

主要方法:

一项涉及93只眼睛的研究,其中包括范赫里克2级或以下的眼睛.
进行了视镜,UBM和前段光学连贯性断层扫描 (AS-OCT).
使用后勤回归分析来确定诊断不一致的相关因素.

主要成果:

在关闭角度的分类方面,在视镜和UBM之间观察到显著的分歧 (麦克内马尔测试,P=0.0388).
在26只眼睛中,UBM过度诊断了角关闭,而与视镜相比,在12只眼睛中诊断不足.
较长的轴长,较深的前腔,较大的角度开放距离和较小的虹膜凸度与UBM过度诊断有关.

结论:

在评估对立角度闭合时,视镜和UBM之间存在分歧.
由UBM评估的前置和后置腔室配置参数都与这种诊断分歧有显著的关系.
这些发现凸显了考虑多个参数和成像模式对于准确的角度闭合诊断的重要性.

关键词:

被归类为可以封闭的角度.虹膜 - 轨道管接触接触尼奥斯科普 (Gonioscopy) 是一种用于检查骨的方法.超声波生物显微镜研究范赫里克等级2或更低.

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