眼科 ›› 2013, Vol. 22 ›› Issue (1): 1-5.

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眼前节相干光断层扫描在原发性闭角型青光眼诊治中的应用

刘杏  李媚   

  1. 510060广州,中山大学中山眼科中心 眼科学国家重点实验室
  • 收稿日期:2012-11-29 出版日期:2013-01-25 发布日期:2013-01-30
  • 通讯作者: 刘杏,Email:liuxing@mail.sysu.edu.cn
  • 基金资助:

    广东省自然科学基金(2011010006046);眼科学国家重点实验室创新基金(2010C03)

Anterior segment optical coherence tomography for the evaluation of primary angle closure glaucoma

LIU Xing, LI Mei   

  1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou 510060, China
  • Received:2012-11-29 Online:2013-01-25 Published:2013-01-30
  • Contact: LIU Xing, Email: liuxing@mail.sysu.edu.cn

摘要:  眼前节相干光断层扫描(AS-OCT)是继超声生物显微镜(UBM)后又一种眼前段成像检测手段,其为无创性、非接触性,分辨率较UBM高。可测量包括角膜、前房、前房角、虹膜、晶状体等多个眼前段结构参数。本文评价了AS-OCT在原发性闭角型青光眼(PACG)诊治中利用AS-OCT了解PACG和正常人眼前段生物学参数的差异,了解周边虹膜切开(或切除)术后、小梁切除术后、白内障手术后PACG的眼前段结构性参数的变化,以及对小梁切除术后滤过泡功能进行评估等,强调AS-OCT在PACG的诊断、发病机制、治疗观察中具有重要的临床应用价值。(眼科,2013,22:1-5)

关键词: 前段相干光断层扫描, 青光眼, 闭角型

Abstract:  Anterior segment optical coherence tomography (AS-OCT)  is an imaging instrument developped after ultrasound biomicroscopy (UBM). Moreover, AS-OCT is a non-invasive and non-contact instrument with a higher resolution than UBM. AS-OCT offers anterior segment images of the cornea, anterior chamber, anterior chamber angle, iris and lens. In this article, the value of AS-OCT is evaluated in the diagnosis and treatment of primary angle closure glaucoma (PACG), including the application of AS-OCT in observing the differences between PACG and normal controls, the changes in anterior segment configuration after peripheral iridectomy/trabeculectomy/ cataract surgery in PACG, and the morphology of filtering blebs after trabeculectomy. The present study showed that AS-OCT  would play an important role in the diagnosis, treatment choice and pathogenesis study of PACG. (Ophthalmol CHN, 2013, 22: 1-5)