急性闭角型青光眼急性发作后继发睫状体脉络膜脱离的临床观察  

Clinical Study of Ciliochoroidal Detachment after Acute Episode Period in Primary Acute Angle-Closure Glaucoma

作　　者：郝风芹[1] 张杰[1] 朱玉广[1] 王杰[1] 

机构地区：[1]潍坊医学院附属医院眼科中心,山东潍坊261031

出　　处：《潍坊医学院学报》2009年第3期196-198,F0003,共4页Acta Academiae Medicinae Weifang

摘　　要：目的观察急性闭角型青光眼急性发作缓解后继发睫状体脉络膜脱离的眼压和前房深度的变化,探讨继发睫状体脉络膜脱离发生的原因及其临床意义。方法分析2007年1月～12月在我院住院的160例160眼急性闭角型青光眼,发作缓解后,40例(40眼)经UBM检查,发现有睫状体或脉络膜脱离。5例(5眼)临床前期眼检出睫状体脉络膜脱离;用Goldmann压平眼压计和UBM分别测量这组病例急性发作时和发现睫状体脉络膜脱离时的眼压和前房深度,并进行SPSS10.0统计学分析。结果急性发作期眼压(50.8±5.6)mmHg,临床前期眼压(15.7±3.2)mmHg,急性发作期前房中央深度(1.662±0.235)mm,发作缓解继发睫状体脉络膜脱离时眼压(8.3±3.5)mmHg,前房中央深度(1.573±0.180)mm。UBM图像分析示急性发作缓解后睫状体脱离17例,脉络膜脱离23例。结论急性发作眼及临床前期眼在急性闭角型青光眼急性发作缓解后皆可发生睫状体脉络膜脱离,主要原因可能与眼压大幅快速下降有关。UBM在急性闭角型青光眼急性发作前后具有较高的应用价值。Objective To study the change of intraocular pressure （IOP） and anterior chamber depth （AD） in primary acute angle-closure glaucoma complicated by ciliochoroidal detachment after acute episode period. To describe the ultrasound biomicroscopic features of acute angle-closure glaucoma with ciliary or choroidal detachment. Methods The clinical data of 40 patients （40 eyes I with ciliary or choroidal detachment out of 160 patients （ 160 eyes ） with primary acute angle-closure glaucoma undergoing medical treatment and paracentesis of anterior chamber were analyzed retrospectively. Results After the treatment, IOP decreased from （ 50.8 ±5.6 ） mmHg to （ 8.3 ± 3.5） mmHg, AD shallowed from （ 1. 662 ± 0. 235 ） mm to （ 1. 573± 0. 180 ） mm by ultrasound biomicroscopy （ UBM ） examination. Ciliary detachment was observed in 17 patients. Choroidal detachment was observed in 23 patients. Conclusion It is suggested that primary acute angle-closure glaucoma complicated by ciliochoroidal detachment is related to rapid reduction of IOP. Ultrasound biomicroscopy （ UBM} can offer higher diagnostic value and reliable information to clinic.

关 键 词：青光眼 闭角型 睫状体 脉络膜 超声生物显微镜 

分 类 号：R775.2[医药卫生—眼科]