1岁以下婴儿ICare手持回弹式眼压计眼压正常值及RetCam检查对其影响的研究

doi:10.13281/j.cnki.issn.1004-4469.2022.05.005

眼科 ›› 2022, Vol. 31 ›› Issue (5): 345-348.doi: 10.13281/j.cnki.issn.1004-4469.2022.05.005

1岁以下婴儿ICare手持回弹式眼压计眼压正常值及RetCam检查对其影响的研究

郑姣穆歌赵欢欢高彩凤张振瑜徐昊立

广东省妇幼保健院眼科，广州 511400

收稿日期:2022-03-15 出版日期:2022-09-25 发布日期:2022-09-26
基金资助:
广东省医学科学技术研究基金项目（A2020421）

Study on the normal intraocular pressure in infants under 1 year old by ICare hand-held rebound tonometer and the effect of retinal examination with RetCam on it

Zheng Jiao, Mu Ge, Zhao Huanhuan, Gao Caifeng, Zhang Zhenyu, Xu Haoli

Department of Ophthalmology, Guangdong Women and Children Hospital, Guangzhou 511400, China

Received:2022-03-15 Online:2022-09-25 Published:2022-09-26
Supported by:
Medical Scientific Research Program of Guangdong Province (A2020421)

摘要/Abstract

摘要： 目的分析1岁以下婴儿正常眼压值及眼底广域数字成像系统（RetCam3）视网膜筛查对眼压的影响。设计前瞻性病例系列。研究对象 2019~2020年于广东省妇幼保健院行筛查的≤1岁婴儿285例（570眼），其中男性176例。选择同期在我院门诊就诊且眼压正常的成年人102例（204眼）作为对照。方法使用ICare手持回弹式眼压计测量婴儿RetCam3筛查前后的眼压值，比较筛查前后眼压变化及其与成年人的异同。主要指标眼压。结果婴儿双眼平均眼压（13.04±3.04） mmHg，左、右眼眼压差异无统计学意义（t=-1.68，P=0.10）。成年人双眼平均眼压（16.82±2.36）mmHg，婴儿眼压较成年人低（t=-18.14，P＜0.01）。不同性别婴儿的眼压比较无统计学意义（t=0.20，P=0.85）。行RetCam3眼底检查后眼压（13.93±3.20） mmHg较检查前眼压（12.88±3.12） mmHg升高（t=5.09，P＜0.01），出生时胎龄＜32周组眼底检查前后眼压的差值（1.64±3.76）mmHg高于≥32周组（0.75±3.22）mmHg （t=2.12，P=0.04）。结论 1岁以下婴儿平均眼压较成年人低；RetCam3眼底检查可引起婴儿眼压轻微升高，且对出生胎龄小的婴儿影响更明显。（眼科， 2022， 31： 345-348）

关键词: 婴儿, 眼压, RetCam

Abstract: Objective To observ the normal intraocular pressure (IOP) of infants under 1 year old and to analyze the effect of retinal examination with wide field digital fundus imaging system (RetCam3) on their IOP. Design Prospective case series. Participants 285 cases (570 eyes) of ≤1 year old infants born at 24~40 weeks of pregnancy, wherein 176 were males, and 102 adult cases (204 eyes) with normal IOP, in Guangdong Women and Children Hospital between 2019 to 2020. Methods IOPs before and after RetCam3 retinal examinations in infacts as well as adults were measured by the ICare hand-held rebound tonometer. The differences of IOP between before and after RetCam3 retinal examinations and between infacts and adults were compared. Main Outcome Measures IOPs. Results The mean IOP of both eyes of infants was (13.04±3.04) mmHg, there was no significant difference between left and right IOP (t=-1.68，P=0.10). The both eyes mean IOP of adults was (16.82±2.36) mmHg. The IOP of infants was lower than that of adults (t=-18.14，P＜0.01). There was no statistical difference of IOP between different genders for infants (t=0.20，P=0.85). The IOP after RetCam3 examination was (13.93±3.20) mmHg, which was higher than that before examination (12.88±3.12 mmHg) (t=5.09，P＜0.01). The difference of IOP before and after fundus examination was more higher in <32 weeks group (1.64±3.76 mmHg) than ≥32 weeks group (0.75±3.22 mmHg) (t=2.12，P=0.04). Conclusion The mean IOP of infants ≤1 year old is lower than adults. RetCam3 retinal examinationcan cause mild IOP increase in infants, and the effect is more obvious in the infants with smaller gestational age. (Ophthalmol CHN, 2022, 31: 345-348)

Key words: infants, intraocular pressure, RetCam

郑姣穆歌赵欢欢高彩凤张振瑜徐昊立. 1岁以下婴儿ICare手持回弹式眼压计眼压正常值及RetCam检查对其影响的研究[J]. 眼科, 2022, 31(5): 345-348.

Zheng Jiao, Mu Ge, Zhao Huanhuan, Gao Caifeng, Zhang Zhenyu, Xu Haoli. Study on the normal intraocular pressure in infants under 1 year old by ICare hand-held rebound tonometer and the effect of retinal examination with RetCam on it[J]. Ophthalmology in China, 2022, 31(5): 345-348.

[1]	庞睿奇王悦范肃洁曾流芝孙云晓郭奕钦李茹月曹凯王宁利. 多层级专科门诊中开角型青光眼亚型分布与人口学特征研究[J]. 眼科, 2022, 31(1): 8-13.
[2]	薛灿灿李书珊苗金红张纯. 视网膜脱离患者玻璃体切除硅油填充术后3天高眼压发生率及危险因素[J]. 眼科, 2022, 31(1): 26-32.
[3]	蒲丽萍唐琪田俊祺卿国平. DBA/2J小鼠房水引流通道中色素颗粒分布及其与眼压关系的实验研究[J]. 眼科, 2022, 31(1): 33-38.
[4]	胡磾江俊宏张聪孙浙阳陈思萍 . 医院就诊的青少年近视患者眼压分布及相关因素分析[J]. 眼科, 2022, 31(1): 39-44.
[5]	林海双叶聪黄强杰王小洁周文哲张绍丹解彦茜许淑霞乐融融梁远波. 小剂量激光睫状体成形术治疗急性闭角型青光眼的试点研究[J]. 眼科, 2021, 30(1): 30-35.
[6]	胡迭周龙芳彭予苏蓝婕葛庆舒谢平中谢立信潘晓晶. 五种眼压计测量眼压的一致性比较及其与角膜生物力学的相关性[J]. 眼科, 2020, 29(5): 365-369.
[7]	任泽钦. 谁动了我的视神经？ —正常眼压性青光眼视神经损害探因[J]. 眼科, 2020, 29(2): 87-89.
[8]	余晓伟赵珍妮杨雪范志刚. 青光眼发病机制：从临床复杂表型剖析到基本科学问题探索[J]. 眼科, 2020, 29(1): 1-5.
[9]	任泽钦. 正常眼压青光眼的基本问题及其认识方法[J]. 眼科, 2020, 29(1): 6-8.
[10]	梁优萍林豪刘林洁黄小琼梁远波周文哲陈燕燕. 个案管理模式下青光眼患者的靶眼压管理及随访依从性[J]. 眼科, 2019, 28(4): 289-293.
[11]	乔春艳许欣悦曹凯 . 健康人短途乘坐飞机时眼压变化的研究[J]. 眼科, 2019, 28(4): 294-296.
[12]	房景望田丽萍刘雅妮武珅张敬学辛晨王宁利朱玮. 广谱机械力敏感离子通道抑制剂钌红调控眼压的实验研究[J]. 眼科, 2019, 28(3): 202-206.
[13]	万月尹鹏石砚辛晨刘璐曹凯王怀洲王宁利. 内路小梁切开联合白内障超声乳化吸除术治疗原发性开角型青光眼的短期疗效[J]. 眼科, 2019, 28(3): 169-175.
[14]	苏晓丹赵书萍邓敏 . AccuPen手持压平式眼压计测量的3岁以下婴幼儿正常眼压值研究[J]. 眼科, 2019, 28(1): 49-51.
[15]	张婷婷孟京亚江俊宏吴海霞冯克谜胡城李敏徐晶梁远波. Icare回弹式家用眼压计与Goldmann压平眼压计眼压测量的一致性分析[J]. 眼科, 2018, 27(6): 423-426.

1岁以下婴儿ICare手持回弹式眼压计眼压正常值及RetCam检查对其影响的研究

Study on the normal intraocular pressure in infants under 1 year old by ICare hand-held rebound tonometer and the effect of retinal examination with RetCam on it

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价