常熟地区原发性闭角型青光眼患者屈光状态分析

发布时间：2018-07-20 19:45

【摘要】：目的:对常熟地区原发性闭角型青光眼患者进行眼前节相关生物学参数测量,观察这些患者中不同屈光状态的分布比例,分析其眼球结构特点。方法:连续收集2014年01月至2015年12月常熟市第二人民医院眼科青光眼门诊就诊患者100例,包括可疑原发性房角关闭(PACS)、原发性房角关闭(PAC)、原发性闭角型青光眼(PACG),进行裂隙灯生物显微镜、非接触眼压计、眼底镜、房角镜、屈光度和角膜曲率检查。按验光结果,测量正视眼、近视眼、远视眼者中央前房深度(ACD)、晶状体厚度(LT)、眼轴长度(AL)及角膜曲率(K),比较不同屈光状态患者生物学参数在三组间的差异。结果:原发性闭角型青光眼100例100眼中近视眼组18眼(占18%),正视眼组21眼(占21%),远视眼组61眼(占61%)。三组患者的中央前房深度、晶体厚度、角膜曲率均无差异(P0.05)。三组患者的眼轴长度具有显著差异(P0.05):近视眼组的眼轴长度显著高于远视眼和正视眼(P0.05),远视眼和正视眼的眼轴长度则没有显著差异(P0.05)。结论:原发性闭角型青光眼大部分患者为远视状态,部分患者的眼轴长度较长呈现近视状态。
[Abstract]:Objective: to measure the relative biological parameters of anterior segment in patients with primary angle-closure glaucoma in Changshu, observe the distribution ratio of different refractive states in these patients, and analyze the characteristics of eyeball structure. Methods: from January 2014 to December 2015, 100 ophthalmic glaucoma outpatients of Changshu second people's Hospital were collected. Including suspected primary angle closure (PACS), primary angle closure (PAC), primary angle closure glaucoma (PACG), slit lamp biomicroscopy, non-contact intraocular pressure meter, fundus lens, atrial angle lens, diopter and corneal curvature. The central anterior chamber depth (ACD), lens thickness (LT), axial length (AL) and corneal curvature (K) were measured according to the results of optometry, myopia and hyperopia. Results: in 100 eyes of 100 patients with primary angle closure glaucoma, 18 eyes (18%) were myopia, 21 eyes (21%) were orthopia, 61 eyes (61%) were hyperopia. There was no significant difference in central anterior chamber depth, lens thickness and corneal curvature among the three groups (P0.05). There was significant difference in axial length among the three groups (P0.05): the axial length of myopia group was significantly higher than that of hyperopia and orthopia (P0.05), but there was no significant difference in axial length between hyperopia and orthopia (P0.05). Conclusion: most of the patients with primary angle-closure glaucoma are hyperopic, and some of them have long axial length and myopia.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R775.2

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