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假性剥脱性青光眼的角膜厚度

Corneal thickness in pseudoexfoliative glaucoma.

作者信息

Alpeza-Dunato Zvjezdana, Novak-Stroligo Maja, Kovacević Damir, Caljkusić-Mance Tea

机构信息

Department of Ophtalmology, Rijeka University Hospital Center, Rijeka, Croatia.

出版信息

Coll Antropol. 2011 Sep;35 Suppl 2:303-4.

Abstract

Measurements of central cornea thickness (CCT) have a very important value in glaucoma patients; if the central cornea is thinner than it suggests, then the intraocular pressure is falsely low. This study compares the central cornea thickness between patients with pseudoexfoliative glaucoma, open angle glaucoma, angle closure glaucoma and control group. This study included 34 patients with pseudoexfoliative glaucoma, 31 patient with open angle laucoma, 28 patients with angle closure laucoma and 36 normal subjects in a control group. Patients in all groups and also normal subjects in control group had no other corneal disorders, no history of trauma, corneal surgery and were not patients with contacts lens use. Patients with pseudoexfoliative glaucoma and also patients with open angle glaucoma had significantly lower values of central cornea thickness compared with normal subjects in control group. Tomey EM 3000 is a non contact specular microscope which was used to measure central corneal thickness in this study. Pachymetry is an important method for diagnoses of glaucoma and for examination of the intraocular pressure in glaucoma patients, because values of the central corneal thickness affect the exact intraocular pressure readings.

摘要

中央角膜厚度(CCT)测量在青光眼患者中具有非常重要的价值;如果中央角膜比实际情况更薄,那么眼压测量值会偏低。本研究比较了剥脱性青光眼、开角型青光眼、闭角型青光眼患者与对照组之间的中央角膜厚度。本研究纳入了34例剥脱性青光眼患者、31例开角型青光眼患者、28例闭角型青光眼患者以及作为对照组的36名正常受试者。所有组的患者以及对照组中的正常受试者均无其他角膜疾病、无外伤史、角膜手术史,且未佩戴过隐形眼镜。与对照组中的正常受试者相比,剥脱性青光眼患者和开角型青光眼患者的中央角膜厚度值显著更低。Tomey EM 3000是一种非接触式角膜内皮显微镜,本研究中使用它来测量中央角膜厚度。角膜测厚法是诊断青光眼以及检查青光眼患者眼压的重要方法,因为中央角膜厚度值会影响眼压的准确读数。

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