房角镜
眼压
IRIS(生物传感器)
睫状体
前房角
视网膜脱离
超声波
开角型青光眼
作者
Rajesh S. Kumar,Desmond Quek,Kelvin Y. C. Lee,Francis T.S. Oen,Hiroshi Sakai,Victor Koh,Lakshmana S. MohanRam,Mani Baskaran,Tina T. Wong,Tin Aung
出处
期刊:Archives of Ophthalmology
[American Medical Association]
日期:2008-12-08
卷期号:126 (12): 1647-1651
被引量:46
标识
DOI:10.1001/archophthalmol.2008.514
摘要
Objective To confirm the presence of uveal effusion in the eyes of Asian patients with primary angle closure glaucoma (PACG) using ultrasound biomicroscopy (UBM). Methods In this observational case series, 70 patients with PACG (28 untreated patients with newly diagnosed PACG and 42 patients who had undergone previous laser iridotomy and were being monitored) and 12 patients with acute primary angle closure (APAC) were recruited. Eyes of patients with newly diagnosed PACG and APAC underwent UBM before and after laser iridotomy, whereas eyes of patients with treated PACG underwent UBM at enrollment. Uveal effusion was defined as a clear space between the choroid and sclera and was graded as follows: grade 0, none; grade 1, slitlike; grade 2, bandlike; and grade 3, obvious. Results Overall, uveal effusion was found in 11 of 70 eyes with PACG (15.7%; 95% confidence interval, 8.8%-26.2%) and in 3 of 12 eyes with APAC (25%; 95% confidence interval, 8.0%-53.4%). For patients with newly diagnosed PACG, uveal effusion was found in 4 of 28 eyes (14.2%; 95% confidence interval, 5.1%-32.1%) before laser iridotomy; 2 eyes had effusion after laser iridotomy. When present, the effusion was grade 1 in PACG eyes and grade 2 or 3 in APAC eyes. Conclusions Uveal effusion was present in a significant proportion of Asian eyes with PACG and APAC, confirming a recent report of this finding.
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