临床眼科杂志2011，Vol.19Issue(6)：494-496,3.
126例可疑原发性房角关闭的5年随访观察
A five year follow up survery of primary angle closure suspect
邵之江 1孙志成 1史传衣1
作者信息
- 1. 215001,苏州,南京医科大学附属苏州医院,苏州市立医院东区
- 折叠
摘要
Abstract
Objective To investigate the timing of laser peripheral iridotomy( LPI )for the treatment of primary angle closure(PACS ). Methods A total of 126 patients ( 252 eyes ) diagnosed with PACS were enrolled. There were 77 females(154 eyes ) and 49 males ( 98 eyes ). Mean age of the patients was 61 ± 4. 53 years ( range,47 ~ 79 years ). The main criteria for diagnosis of PACS were: 1. No history of attack, signs and symptoms of acute PACG ;2. Normal intraocular pressure;3. The depth of peripheral anterior chamber≤1/4CK; 4. Narrow angle width( grade II or less,Shaffer' S grading system ); 5 . No iris-trabecular contact demonstrated by compression gonioscopy ;6. No glaucomatous optic nerve damage and visual field defect. The patients were re-examined every 3 months. The average follow-up was longer than 5 years. Results 35 of 252 eyes with PACS develop into PAC. Prevalence of PAC was 13. 9%( 35/252 ). Conclusion Not all patients with PACS develop PAC. In patients with any of the following features , PACS is easy to develop into PAC, and prophylactic iridotomy may be indicated in these situations:( 1 )Critically narrow angle{ grade I or less ) ;( 2 )The adhesion of angle gradually develops;! 3 )Narrow angle with positive dark room test;( 4 )Narrow angle with a well-documented family history of PACG;( 5 )Narrow angle with history of previous angle-closure attacks;(6 )Need for repeated pupillary dilation and extensive retinal treatmen(e. G. ,panretinal photocoagulation for abetic retinopathy );( 7 )Hyperopia with senile cataract;(8 ) Younger patients, especially those who live in urban area away from medical care.关键词
可疑原发性房角关闭/激光周边虹膜切开术Key words
Primary angle-closure suspect( PACS )/ Laser peripheral iridotomy ( LPI )引用本文复制引用
邵之江,孙志成,史传衣..126例可疑原发性房角关闭的5年随访观察 [J].临床眼科杂志,2011,19(6):494-496,3.
