闭角型青光眼急性发作合并睫状体脱离的UBM图像分析  

Ultrasound biomicroscopy in eyes of acute angle-close glaucoma with ciliary detachment

作　　者：刘俊[1] 尹金福[1] 吴仁毅[1] 姜节凯[1] 

机构地区：[1]浙江大学医学院附属第二医院眼科中心,杭州310009

出　　处：《中国实用眼科杂志》2007年第5期518-520,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨闭角型青光眼急性发作患者合并睫状体脱离的超声生物显微镜（UBM）图像特征。方法利用UBM对高眼压状态下的急性闭角型青光眼患者作前房角、前房深度、睫状体检查,对合并睫状体脱离UBM图像的形态进行分析。结果21例（29只眼）患者合并睫状体脱离,平均眼压为（34.84±9.37）mmHg,中央前房深度为（1.67±0.18）mm,眼轴长度为（23.10±1.25）mm。UBM图像分析示睫状体脱离双眼8例、单眼13例;脱离分级,1级11只眼、2级12只眼、3级6只眼;脱离范围2象限6只眼、3象限4只眼、全周脱离19只眼。结论UBM检查显示原发性急性闭角型青光眼高眼压状态的患者可合并睫状体上腔脱离,对该类患者的临床初期治疗,需重视降眼压药物及适量的皮质激素联合应用。Objective To describe the ultrasound biomicroscopic features of acute angle-close glaucoma with ciliary detachment. Methods Ultrasound biomicroscopy was applied on eyes of acute angle- close glaucoma. The angle and the depth of the anterior chamber, as well as the ciliary body was carefully examined. Results Ciliary detachment was found in 21 patients （29 eyes） with the mean intraocular pressure （34.84 ± 9.37）mmHg, the central anterior chamber depth（1.67 ± 0.18）mm and the axial length （23.10 ± 1.25） mm. Bilateral ciliary detachment were seen in 8 patients. Grading of ciliary detachments revealed 11 eyes of grade 1, 12 eyes of grade 2 and 6 eyes of grade 3, The ranges of ciliary detachments revealed 6 eyes of 2 quarters, 4 eyes of 3 quarters and 19 eyes of 4 quarters. Conclusion Under ultrasound biomicroscopy ciliary detachment can be well demonstrated in eyes of acute angle-close glaucoma onset. Ocular hypotensive agents, as well as cortical steroid should be applied in the early treatment of these particular glaucoma patients.

关 键 词：闭角型青光眼 睫状体脱离 超声生物显微镜 

分 类 号：R775.2[医药卫生—眼科]