[1]李睿,李倩,崔红平,等.急性闭角型青光眼对侧眼易发作的解剖因素[J].眼科新进展,2016,36(8):728-731.[doi:10.13389/j.cnki.rao.2016.0193]
　LI Rui,LI Qian,CUI Hong-Ping,et al.Anatomical factors for susceptibility of fellow eyes of primary acute angle closure glaucoma[J].Recent Advances in Ophthalmology,2016,36(8):728-731.[doi:10.13389/j.cnki.rao.2016.0193]
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急性闭角型青光眼对侧眼易发作的解剖因素
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
36卷
期数:
2016年8期
页码:
728-731
栏目:
应用研究
出版日期:
2016-08-05

文章信息/Info

Title:
Anatomical factors for susceptibility of fellow eyes of primary acute angle closure glaucoma
作者:
李睿; 李倩; 崔红平; 孙兴怀
200120　上海市，同济大学附属东方医院眼科（李睿，李倩，崔红平）；200031　上海市，复旦大学附属眼耳鼻喉科医院眼科（孙兴怀）
Author(s):
LI Rui;  LI Qian ; CUI Hong-Ping ; SUN Xing-Huai
Department of Ophthalmology , Shanghai East Hospital , Tongji University ( LI Rui, LI Qian , CUI Hong-Ping ) , Shanghai 200120 , China ; Department of Ophthalmology, Eye & ENT Hospital , Fudan University ( SUN Xing-Huai ) ,Shanghai 200031 . China
关键词:
急性闭角型青光眼; 对侧眼; 眼前节参数
Keywords:
acute angle closure glaucoma ;  fellow eye ;  anterior segment parameter
分类号:
Ｒ７７５
DOI:
10.13389/j.cnki.rao.2016.0193
文献标志码:
A
摘要:
目的　探讨急性闭角型青光眼（ａｃｕｔｅａｎｇｌｅｃｌｏｓｕｒｅｇｌａｕｃｏｍａ，ＡＡＣＧ）对侧眼易发作的解剖因素。方法　收集２０１０年１２月至２０１１年１２月在同济大学附属东方医院眼科就诊的５５例原发性ＡＡＣＧ患者，另收集性别、年龄相匹配的正常人３５例（３５眼）作为对照组。采用眼前节光学相干断层扫描（ａｎｔｅｒｉｏｒｓｅｇｍｅｎｔｏｐｔｉｃａｌｃｏｈｅｒｅｎｃｅｔｏｍｏｇｒａｐｈｙ，ＡＳ-ＯＣＴ）分别测量ＡＡＣＧ对侧眼、发作眼及正常对照组眼前节参数，并分析各参数的异同。结果　ＡＡＣＧ对侧眼和发作眼之间的房角开放距离５００、房角隐窝面积差异均有统计学意义（均为Ｐ＜０．０５），但两者之间的房角开放距离７５０、中央前房深度、前房宽度、前房面积和前房体积差异均无统计学意义（均为Ｐ＞０．０５）。对侧眼和正常眼之间的房角开放距离５００、房角开放距离７５０、房角隐窝面积、中央前房深度、前房宽度、前房面积和前房体积差异均有显著统计学意义（均为Ｐ＜０．００１）。结论　ＡＡＣＧ对侧眼和发作眼的前房结构差异主要表现在房角局部，两者的前房整体结构并无明显差异，均表现为浅前房、较小的前房宽度、面积和体积。对侧眼房角相对较宽但前房整体狭小，这构成了其暂时未发作而一定时期易发作的解剖基础。
Abstract:
Objective To investigate anatomical factors for susceptibility of fellow eyes of primary acute angle closure glaucoma. Methods Fifty-five patients with primary acute angle closure glaucoma ( AACG) in Shanghai East Hospital from December 2010 to December 2011 were selected, and 35 normal subjects matched with sexual and ages were set as control. A1l cases were exanuned with anterior segment optical coherence tomography (AS-OCT). Statistical analysis for anterior chamber parameters was performed among attacked eyes, fellow eyes and normal eyes. Results There were sigruficant differences in angle opening distance 500 and angle recess area between attacked eyes and fellow eyes ( all P < 0. 05 ) . However , angle opening distance 750 . anterior chamber depth , anterior chamber width . anterior chamber area and anterior chamber volume between attacked eyes and fellow eyes had no significant differences ( all P > 0. 05 ) . There were significant differences in angle operung distance 500 , angle opening distance 750 , angle recess area , anterior chamber depth , anterior chamber width . anterior chamber area and anterior chamber volume between fellow eyes and control eyes ( all P < 0. 001) . Conclusion The main differences between fellow eyes and attacked eyes only lie in partial location of chamber angle. Fellow eyes and attacked eyes are identical in global macro anterior chamber structure. Such a characteristic of fellow eyes,relatively wide chamber angle and narrow anterior chamber structure as a whole . founds the anatomic basis for the phenomenon that fellow eyes are not attacked temporarily but break out within a certain period.

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备注/Memo

备注/Memo:
上海市浦东科技发展基金（编号：ＰＫＪ２０１１-Ｙ３４）
更新日期/Last Update: 2016-08-22