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手术降低眼压后神经视网膜边缘面积增加。

Increase of neuroretinal rim area after surgical intraocular pressure reduction.

作者信息

Funk J

机构信息

University Eye Clinic, Klinikum der Albert-Ludwigs-Universitat, Freiburg, FRG.

出版信息

Ophthalmic Surg. 1990 Aug;21(8):585-8.

PMID:2234809
Abstract

The Optic Nerve Head Analyzer was used to measure the optic disc structure of 18 eyes (13 adult glaucoma patients) before and after surgical intraocular pressure reduction. Neuroretinal rim area markedly increased (from +0.15 mm2 to +0.45 mm2) in eight eyes, but changed either very little (less than +/- 0.1 mm2) or not at all in the remaining 10 eyes. The mean increase was from 0.75 +/- 0.26 mm2 to 0.92 +/- 0.36 mm2. The increased neuroretinal rim area found at this time remained in all eyes reexamined 1 to 3 years after surgery. Our data support previous findings that glaucomatous disc cupping may be reversed even in adult eyes, perhaps as the result of adequate pressure reduction.

摘要

使用视神经乳头分析仪测量了18只眼(13例成年青光眼患者)手术降低眼压前后的视盘结构。8只眼中的神经视网膜边缘面积显著增加(从+0.15平方毫米增加到+0.45平方毫米),但其余10只眼中变化很小(小于±0.1平方毫米)或根本没有变化。平均增加量从0.75±0.26平方毫米增加到0.92±0.36平方毫米。此时发现的神经视网膜边缘面积增加在术后1至3年复查的所有眼中均持续存在。我们的数据支持先前的研究结果,即即使在成年眼中,青光眼性视盘凹陷也可能逆转,这可能是充分降低眼压的结果。

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Increase of neuroretinal rim area after surgical intraocular pressure reduction.手术降低眼压后神经视网膜边缘面积增加。
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Peripapillary Vessel Density Reversal after Trabeculectomy in Glaucoma.青光眼小梁切除术后视乳头周围血管密度的逆转
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Graefes Arch Clin Exp Ophthalmol. 2010 Apr;248(4):485-95. doi: 10.1007/s00417-009-1220-5. Epub 2009 Oct 29.
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Five-year follow-up optic disc findings of the Collaborative Initial Glaucoma Treatment Study.青光眼初始治疗协作研究的五年随访视盘检查结果
Am J Ophthalmol. 2009 Apr;147(4):717-724.e1. doi: 10.1016/j.ajo.2008.10.007. Epub 2009 Jan 18.
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