国际眼科纵览 ›› 2024, Vol. 48 ›› Issue (5): 327-332.

• 综述 • 上一篇    下一篇

超声睫状体成形术后眼球结构及参数的变化

刘东月李强赵军2   

  1. 1暨南大学第二临床医学院,深圳 518020;2 深圳市人民医院眼科(暨南大学第二临床医学院,南方科技大学第一附属医院),深圳 518020
  • 收稿日期:2024-06-24 出版日期:2024-10-22 发布日期:2024-10-15
  • 通讯作者: 赵军,Email: doctorzhaojun@163.com
  • 基金资助:
    ultrasound cycloplasty; glaucoma; ocular structure; ocular parameter

Changes on ocular structures and parameters after ultrasound cycloplasty

Liu Dongyue1, Li Qiang2, Zhao Jun2   

  1. 1 The Second Clinical Medical College, Jinan University, Shenzhen 518020, China; 2 Department of Ophthalmology, Shenzhen People’s Hospital (The Second Clinical Medical College of Jinan University, The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen 518020, China
  • Received:2024-06-24 Online:2024-10-22 Published:2024-10-15
  • Contact: Zhao Jun, Email: doctorzhaojun@163.com
  • Supported by:
    Shenzhen Science and Technology Program (JCYJ20220530151805011, JCYJ2021 0324113610029)

摘要: 超声睫状体成形术(ultrasound cycloplasty,UCP)是以高强度聚焦超声为基础的新型非侵入性治疗青光眼的技术。UCP在治疗多种类型青光眼,如原发性青光眼、新生血管性青光眼及外伤性青光眼等难治性青光眼中,能够有效地降低眼压,且若术后眼压再次升高,3~6个月后前房炎症消退后进行重复治疗亦有效;同时,UCP治疗可引起眼部其他的参数和结构的改变及相关的并发症。UCP术后可发生角膜曲率、结膜及巩膜厚度、前房闪辉、瞳孔直径等的变化,但多为一过性,一般术后3~6个月恢复至术前水平或消退;未发现UCP治疗后明确的前房深度改变;但UCP术后可发生上方和下方巩膜睫状突夹角增大,睫状体面积减小;有关UCP术后引起眼后节改变及并发症的报道较少,有待进一步研究。 (国际眼科纵览,2024, 48:327-332)

关键词: 超声睫状体成形术, 青光眼, 眼球结构, 眼球参数

Abstract: Ultrasound cycloplasty (UCP) is a new non-invasive glaucoma treatment technology based on high-intensity focused ultrasound. UCP can effectively reduce intraocular pressure (IOP) in the treatment of various types of glaucoma such as primary glaucoma, neovascular glaucoma, traumatic glaucoma and other refractory glaucoma. For increased IOP again after UCP, it is also effective to administer repeated UCP treatment 3~6 months later, when the anterior chamber inflammation is under control. Meanwhile, UCP treatment can cause the changes on ocular structures and parameters, as well as related complications. Most of the complications, changes of ocular structures and parameters such as keratometry, conjunctival and scleral thickness, anterior chamber flare and pupil diameter were transient, usually recovered to preoperative level or subsided within 3~6 months after UCP. The change in anterior chamber depth have not been definitely reported after UCP. However, the scleral ciliary process angle was increased, and the ciliary body area was decreased after UCP. At the same time, further research is needed to clarify the changes and complications in the ocular posterior segment caused by UCP.  (Int Rev Ophthalmol, 2024, 48:  327-332)

Key words: ultrasound cycloplasty, glaucoma, ocular structure, ocular parameter