山东大学耳鼻喉眼学报 ›› 2008, Vol. 22 ›› Issue (6): 538-540.

• 论文 • 上一篇    下一篇

HRT-II在原发性慢性闭角型青光眼诊断中的应用

屈宏波,唐桂兰,刘少君   

  1. 山西省眼科医院青光眼科, 山西 太原  030002
  • 收稿日期:2008-07-10 修回日期:2008-10-24 出版日期:2008-12-16 发布日期:2008-12-16
  • 通讯作者: 屈宏波 Email:zhj6929@sina.com
  • 作者简介:屈宏波,女,主治医师,主要从事青光眼、白内障方面的研究。Email:zhj6929@sina.com

Application of HRT-II in the diagnosis of chronic primary angle-closure glaucoma

 QU Hong-Bo, TANG Gui-Lan, LIU Shao-Jun   

  1. Department of Glaucoma, Shanxi Eye Hospital, Taiyuan 030002, China
  • Received:2008-07-10 Revised:2008-10-24 Online:2008-12-16 Published:2008-12-16

摘要:

目的探讨海德堡视网膜断层扫描仪(HRT-II)在原发性慢性闭角型青光眼(CPACG)诊断中的意义。方法对30例(60眼)CPACG患者进行HRT-II检测及视野检查,统计分析HRT-II检测敏感性、病变分区特点及视盘参数与视野平均缺损的相关性。结果① 60眼中视野异常53眼,HRT-II检测异常54眼;视野异常和HRT-II异常对应为98.15%;单眼视野组8例中有对侧2眼视野检测正常而HRT-II检测异常,对侧5眼视野检测正常而HRT-II检测也正常,对侧1眼HRT-II检测正常而视野检测异常。颞下象限盘沿面积异常率最高;②盘沿面积、杯/盘面积比 、盘沿容积、视杯形态测量 与视野平均缺损呈直线相关。结论HRT-II检查敏感性良好,与视野检查有良好的对应关系,可以用于CPACG患者视神经损害的监测及早期诊断。

关键词: 原发性慢性闭角型青光眼;海德堡视网膜断层扫描仪;视野检查

Abstract:

To investigate the diagnostic value of HRT-II for chronic primary angle-closure glaucoma(CPACG). MethodsThirty cases (60 eyes) of CPACG were detected by HRT-II and auto visual field examination. The sensitivity, characteristics of different disk section, and correlation between optic disc parameters and mean defect of the visual field were analyzed. Results1. Fifty-three eyes were abnormal by visual field detection and fifty-four eyes abnormal by HRT-II. The corresponding ratio between visual field detection and HRT-II was 98.15%. In the group of single eye abnormal in the visual field, there were 2 eyes which were normal in the visual field but abnormal in HRT-II and 5 eyes were normal in both the visual field and HRT-II; 1 eye was abnormal in the visual field but normal in HRT-II. The Rim area of the abnormal ratio in the temporal inferior section was the highest in HRT-II.  2. Mean defection showed a statistically significant correlation with rim area, rim volume, cup/disc (C/D) area and cup shape (P<0.05). ConclusionHRT-II is sensitive and is related to the visual field result. HRT-II can probably be used for follow-up and early diagnosis of CPACG.

Key words: Chronic primary angle-closure glaucoma; HRT-II; Visual field detection

中图分类号: 

  • R775.2
[1] 徐红1,李明2,杨华3. 不同位置可调缝线在小梁切除联合丝裂霉素应用中的疗效比较[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 68-69.
[2] 李军,由新英. 原发性闭角型青光眼复合式小梁切除术后眼前节结构改变[J]. 山东大学耳鼻喉眼学报, 2010, 24(5): 64-66.
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