新生血管性青光眼患者眼前节参数及睫状突位置的研究OA
An investigation into anterior segment parameters and ciliary process position in patients with neovascular glaucoma
目的:探讨新生血管性青光眼患者眼前节参数及睫状突相对位置,为睫状体激光光凝治疗提供研究资料.方法:2020 年 1 月—2023 年 12 月在聊城市人民医院招募 14 例新生血管性青光眼患者和 15 名正常对照人群.所有参与者均行眼科 A 超及超声生物显微镜(ultrasound biomicroscopy,UBM)检查,分别测量前房深度、晶状体厚度、眼轴长度、小梁睫状突夹角、小梁虹膜夹角、睫状突高度、房角开放距离、睫状突体表投影位置等眼前节参数.并对两组参与者的眼前节参数进行对比.结果:与正常对照组相比,新生血管性青光眼患者的房角开放距离、小梁虹膜夹角均偏小,差异具有统计学意义(P<0.05).新生血管性青光眼患者的小梁睫状突夹角、睫状突高度与正常对照组相比,差异无统计学意义(P>0.05).在睫状突体表投影方面,新生血管性青光眼患者的睫状突体表投影位置相对靠前(P<0.05).此外,新生血管性青光眼患者与正常对照组之间,在前房深度、晶体厚度、眼轴长度及晶状体相对位置方面差异均无统计学意义(P>0.05).结论:与正常人相比,新生血管性青光眼患者房角偏窄、睫状突位置靠前.利用 UBM 可以对新生血管性青光眼患者睫状突位置进行测量,以便于个性化指导经巩膜睫状体激光光凝治疗.
Objective:To investigate the anterior segment parameters and the relative position of the ciliary process in patients with neovascular glaucoma(NVG),and to provide research data to support laser photocoagulation treatment of the ciliary body.Methods:A total of 14 patients diagnosed with NVG and 15 healthy control subjects were recruited in this study.All subjects underwent ophthalmic A-scan and ultrasound biomicroscopy(UBM)examinations to measure several parameters,including anterior chamber depth,lens thickness,axial length,angle between the trabecular and ciliary processes,angle between the trabecular meshwork and iris processes,height of the ciliary process,atrial angle opening distance,and the projection position of the ciliary process on the surface of the eye.The parameters were compared between the two groups.Results:Compared with the healthy control group,patients with NVG exhibited significantly smaller angle opening distances and trabecular-iris angle(P<0.05).No statistically significant differences were observed between the two groups in terms of the angle between the trabecular and ciliary processes and height of the trabecular ciliary process(P<0.05).Regarding the surface projection of the ciliary process,it was positioned more anteriorly in the NVG group(P<0.05).Additionally,no statistically significant differences were found in anterior chamber depth,lens thickness,axial length,or the relative position of the lens between NVG the two groups(P<0.05).Conclusions:Compared with healthy controls,patients with NVG have narrower anterior chamber angles and more anterior ciliary processes.UBM can be effectively used to measure the position of the ciliary process in NVG patients thereby providing personalized guidance for transscleral cyclophotocoagulation.
赵栋栋;张若晨;高建鲁
聊城市人民医院眼科,聊城 252100聊城市人民医院眼科,聊城 252100聊城市人民医院眼科,聊城 252100
医药卫生
新生血管性青光眼睫状突超声生物显微镜睫状体激光光凝眼前节参数
neovascular glaucomaciliary processesultrasound biomicroscopycyclophotocoagulationanterior segment parameters
《眼科学报》 2026 (4)
306-312,7
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