眼科

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房水静脉检查及意义

辛晨  石砚  王怀洲  王宁利   

  1. 100005 首都医科大学附属北京同仁医院  北京同仁眼科中心  北京市眼科研究所  眼科学与视觉科学北京市重点研究室
  • 收稿日期:2019-03-01 出版日期:2019-03-25 发布日期:2019-03-28
  • 通讯作者: 王宁利, Email: wningli@vip.163.com
  • 基金资助:

    国家自然科学基金(81730027)

The examination and indication of aqueous vein

XIN Chen, SHI Yan, WANG Huai-zhou, WANG Ning-li   

  1. Beijing Tongren Eye Center, Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing 100005, China
  • Received:2019-03-01 Online:2019-03-25 Published:2019-03-28
  • Contact: WANG Ning-li, Email: wningli@vip.163.com

摘要:

房水静脉系位于角膜缘的由深层巩膜穿出的内含透明液体的血管结构。其起始段充满透明房水,向远端汇入充满血液的上巩膜静脉。裂隙灯显微镜下每眼通常可观察到2-3支。房水静脉压迫试验表现为四级:玻璃棒压迫时房水充盈增多(I级);玻璃棒压迫时血液逆充盈,去除压迫后房水充盈增多(II级);玻璃棒压迫时及去除压迫后均出现血液逆充盈(III级);玻璃棒压迫及去除压迫后房水静脉内液体状态无变化(IV级)。房水静脉压迫试验分级有助于评价青光眼患者房水流出通路病变部位和程度,辅助以微导管为工具的青光眼微创手术的术式选择。(眼科, 2019, 28: 88-89)

关键词: 房水静脉, 青光眼微创手术

Abstract:

Aqueous veins originate from the depths of the limbus. Aqueous veins generally contain clear aqueous at their origin and eventually join recipient episcleral vessels. Two to three aqueous veins are typically visible in an eye. The results of the compensation maximum test could be classified into four levels. Level I: aqueous influx phenomenon with compression. Level II: blood influx phenomenon with compression and aqueous reflux with relaxation. Level III: blood influx phenomenon with both compression and relaxation. Level IV: no change with both compression and relaxation. The classification of the compensation maximum test could assist to identify the region and degree of the diseased aqueous pathway. Thus it could help to screen the patients suitable for microcatheter based minimal invasive glaucoma surgery. (Ophthalmol CHN, 2019, 28: 88-89)

Key words: aqueous vein, minimal invasive glaucoma surgery