原发性急性闭角型青光眼并发睫状体脱离的超声生物显微镜观察

摘要

Objective:To investigate clinical the significance of diagnosis about Primary acute angle-closure glaucoma concurrent under ultrasound biomicroscopy.Method:Selected 138 cases of 169 eyes with acute angle-closure glaucoma(acute phase)as the research objects ,from August 2008 to December 2012 in our hospital. Actively reduced intraocular pressure,analyzed and summarized the patients with cyclodialysis by ultrasound biomicroscopy. Result:It was improved in 43 eyes(25.44%)of all the 169 eyes,there were no statistical differences in age or sex between the patient with cyclodialysis and those without(P>0.05);there was no statistical significance in corneal thickness,the anterior chamber depth and scleral with ciliary body angle between the patient with cyclodialysis and those without(P>0.05);the difference of ciliary body thickness and the distance of the trabecular and ciliary body between he patient with cyclodialysis and those without had statistical significance(P<0.05);gonioscopy showed Angle-closure in the patient with cyclodialysis incompletely,there were 2-o’clock at least. Conclusion:The ultrasound biomicroscopy do good to diagnosing the cyclodialysis accurately,guiding treatment of primary acute angle-closure glaucoma,which has higher diagnostic value.%目的：探讨超声生物显微镜（UBM）在原发性急性闭角型青光眼并发睫状体脱离诊断中的临床意义。方法：选取2008年8月-2012年12月本院眼科诊断为急性闭角型青光眼（急性发作期）患者138例共169只眼作为研究对象，积极降低患者眼压，并对UBM检查发现的睫状体脱离患者进行分析和总结。结果：169只眼（急性发作期）中有43只眼并发睫状体脱离（25.44%）；发生睫状体脱离者与未发生者在年龄、性别上差异无统计学意义（P>0.05），且两者比较，角膜厚度、前房深度、巩膜与睫状体夹角差异均无统计学意义（P>0.05），睫状体厚度、小梁与睫状体距离差异有统计学意义（P<0.05）；睫状体脱离患者前房角镜检查示房角均未完全关闭，至少有2个时钟点未关闭。结论：UBM可以对睫状体脱离作出客观准确的判断，指导急性闭角型青光眼术前的治疗并随访观察，具有较高的诊断价值。