Clinical classification and management of angle-closure glaucoma
-
摘要: 目的 探讨闭角型青光眼临床分型诊断及其临床治疗参考价值。 方法 选取2016年5月—2018年5月丽水市人民医院收治的闭角型青光眼患者120例,根据病情将其分为急性组(A1组临床前期,A2缓解期)和慢性组(B1发病早期、B2进展期),并选取同期来院检查的健康人60例作为健康对照组,对入组对象眼部进行检查,测量眼压,因青光眼患者昼夜眼压差距比较大,所以分别选取5点、14点和22点各进行一次测量,使用裂隙灯检查患者眼前节,采用Humphrey视野分析仪检查患者视野,直接检查患者屈光、眼底以及UBM房角,通过对比前房宽度(anterior chamber width,ACW)、房角开放距离(angle opening distance,AOD)、小梁网-虹膜空间面积(trabecular iris space area,TISA)、晶状体矢高(crystalline lens rise,CLR)以及虹膜厚度(iris thickness,IT)等数据,分析其临床分型与其临床参考价值。 结果 急性组和慢性组的AOD、TISA以及ACW均低于对照组(均P<0.05),急性组和慢性组的CLR和IT均高于对照组(均P<0.05);A2组AOD、TISA低于A1组(均P<0.05),A2组CLR、IT高于A1组(均P<0.05),B2组AOD、TISA、IT低于B1组(均P<0.05),B2组CLR高于B1组(P<0.05),B2组AOD、TISA高于A2组(均P<0.05),B2组CLR、IT低于A2组(均P<0.05)。 结论 通过分析不同分型青光眼的眼前节参数,发现急性青光眼和慢性青光眼之间眼前节参数存在差异,而急性青光眼发作期和慢性青光眼进展期眼前节参数变化更加明显,其中最为严重的是急性青光眼发作期,有效的分型诊断更有利于治疗方案的选择和操作。Abstract: Objective To study the clinical classification diagnosis of angle-closure glaucoma and its reference value for clinical treatment. Methods A total of 120 patients with angle-closure glaucoma admitted to our hospital from May 2016 to May 2018 were studied. According to the disease status, they were divided into acute group (pre-clinical A1 group and A2 remission period) and chronic group (early B1 disease, B2 progress period), and selected 60 healthy people who were admitted to the hospital for the same period as the healthy control group, the eyes of the enrolled subjects were examined, and the intraocular pressure of the patients was measured. Because the difference in eye pressure of glaucoma patients between day and night was relatively large,the time points were selected to measure at 5 o'clock 、14 o'clock and 22 o'clock respectively. The anterior segment of the patient's eye was examined using a slit lamp. The patient's field of vision was examined using a Humphrey field of view analyzer. The patient's refractive, fundus, and UBM angle were directly examined. By comparing ACW (anterior chamber width), AOD (angle opening distance), TISA (trabecular iris space area), CLR (crystalline lens rise), and IT (iris thickness) and other data, analysis of clinical scores Type and its clinical reference value. Results AOD, TISA and ACW in both acute and chronic groups were lower than those in the control group (all P<0.05), and CLR and IT in both acute and chronic groups were higher than those in the control group (all P<0.05). AOD and TISA were lower in A2 group than A1 group (all P<0.05), CLR and IT were higher in A2 group than A1 group (all P<0.05), AOD and TISA were lower in B2 group than B1 group (all P<0.05), CLR and IT were higher in B2 group than B1 group (P<0.05), AOD and TISA were higher in B2 group than A2 group (all P<0.05), and CLR and IT were lower in B2 group than A2 group (all P<0.05). Conclusion Through the analysis of different types of glaucoma eyes front section parameters, found eyes front section parameters have differences between acute stage glaucoma and chronic glaucoma, and acute stage glaucoma and chronic glaucoma eyes section parameter change is more obvious, is one of the most severe episodes of acute glaucoma, effective classification diagnosis more conducive to the choice of treatment and operation.
-
Key words:
- Glaucoma /
- Clinical classification /
- Clinical treatment
点击查看大图
计量
- 文章访问数: 215
- HTML全文浏览量: 25
- PDF下载量: 0
- 被引次数: 0