原发性前房角关闭行LPI后眼前节形态学变化的观察研究.docVIP

原发性行LPI后眼前节形态学吴杨杨，宋胜仿，刘世纯，李春华，张永烨，吕莎 （40216重庆医科大学附属永川医院眼科）( [摘要] 目的观察行YAG激光周边虹膜切除术(laser peripheral iridotomyLPI)后眼前节形态学的变化。方法选择2012年3月2013年3月在我院诊断为并行LPI的患者28例（48眼）为研究对象，超声生物显微镜(ultrasound biomicroscopy, UBM)观察LPI前及术后1天、1周、1个月3个月颞上、上、下、颞、鼻共5个位点的房角开放距离(AOD500)、小梁虹膜夹角(TIA)、小梁睫状体距离(CPD)、虹膜睫状体距离(ICPD)、虹膜晶体夹角(ILA)、虹膜晶体接触距离(ILCD)、虹膜厚度1(ITl)、虹膜厚度2(T2)、虹膜厚度3(IT3)、以及中央前房深度(ACD)的变化。结果AOD500、TIA术后1周大于术后其余时间点TCPD：除在术后1天、术后3个月的正下方位点较术前的增加无统计学意义外（P＞0.05），其余各时间点以及相应的位点较术前的增加均有统计学意义（P＜0.05）；术后1周大于术后其余时间点；术后1天至术后3月渐增大ILCD：术后较术前均增大（P＜0.05）；术后1天至术后3月渐减小术后3个月较术后1天颞侧1周下方1个月鼻侧ILCD减小IT1、I2、I3：术后较术前均减小结论，虹膜和瞳孔阻力减轻，增加。 [关键词] UBM；LPI；眼前节形态bservation of anterior segment morphological changes in eyes with primary angle closure after LPI by using UBM Wu Yangyang, Song Shengfang*, Liu Shichun, Li Chunhua, Zhang Yongye, Lv Sha (Department of Ophthalmology, Yong Chuan Hospital，Chong Qing medical university 402160) [Abstract] Objective To evaluate the changes in the anterior segment morphology by using ultrasound biomicroscopy (UBM) after YAG laser peripheral iridotomy (LPI) in eyes with primary angle closure (PAC). Methods From March 2012 to March 2013, 28 patients (48 eyes) who diagnosed with PAC and underwent LPI in our hospital, are regarded as the research object. By using the UBM, the following issues are observed on the superior temporal, above, below, bitamporal, and nasal side of the eyeball at 1 day, 1 week, 1 month and 3 months with the preoperative and postoperative of LPI: angle opening distance (AOD500), trabecular iris angle (TIA), trabecular ciliary process distance (TCPD), iris ciliary process distance (ICPD), iris lens angle (ILA), iris lens contact distance (ILCD), iris thickness 1(ITl), iris thickness 2(IT2), iris thickness 3(IT3), and the anterior chamber depth (ACD) were included. Results AOD500, TIA were increased significantly(P＜0.05), compared to before LPI; and the postoperative 1 week was more than the rest of the time after surgery (P 0.05). TCP