圆锥角膜角膜地形图分析_姜宏钧.pdfVIP

2006 3 42 3 Chin J Ophthalmo,lM arch 2006, Vo l42, No3 231 姜宏钧 谢培英 147 ( 262 ) , ( SRI)( SAI) ; , , , , ; , ; (r = 0208, P = 00 2), ( r = - 0400, P = 0001) , , , ; , (, 2006,42: 231 235 ) ; ; ; , The ana lysis of corneal topography for keratoconus J IANG H ongjun, X IE P e iy ing. P ek ing Un iv ers iy Op ome ry Op h halm ology C en er, B e ij ing 100083, Ch ina Corresp onding au hor: X IE Pe iy ing, Emai:l xpy@ bdaccn Abstract Objective To investigate the refraction and videokeratographic characteristics of keratoconusM ethods 262 eyes of 147 patients w ith keratoconusw ere exam ined using au torefractor and computerized corneal topography, w hich generated the quantitative descriptors includ ing refraction, keratom etry, corneal astigmatism, the surface regu larity index ( SR I) , the surface asymm etry index ( SA I) , and morphologic description R esults A ll patients w ere classified into fou r groups: suspect, m ild, m oderate and advanced group The topographical configurations of the lesions were d ivided into bowtie pattern subd ivided in to symm etric and asymm etric pattern, and nonbowtie pattern includ ing n ipple, oval, global and anom alistic patternThe bowtie pattern m ostly appeared symmetrical and occurred in suspect and m ild casesThe n ipp le and oval pattern m ostly occurred in m ild and m oderate ones located in the central or inferior paracen tral corneaThe global pattern mostly occurred in moderate and advanced ones located in the central corneaThe anom alistic pattern occurred in advanced onesB ilateral topography show ed symm etrical in m ajority of patientsw ith bilateral keratoconusTherew as no correlation between the d iam eter of lesion and the refraction pow er of corneal apex ( r = 0208, P = 00 2) There was negative correlation betw een the d i