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圆锥角膜早期形态的检测——当前的筛查方法

[Detection of early forms of keratoconus - current screening methods].

作者信息

Goebels S, Eppig T, Seitz B, Langenbucher A

机构信息

Klinik für Augenheilkunde, Universitätsklinikum des Saarlandes, Homburg/Saar.

出版信息

Klin Monbl Augenheilkd. 2013 Oct;230(10):998-1004. doi: 10.1055/s-0032-1328694. Epub 2013 Jul 10.

Abstract

The detection of early forms of keratoconus is still a challenge for clinicians. Beside clinical examination and diagnosis of keratoconus, a series of examination techniques has been established in clinical routine to assist in the diagnosis of early forms of keratoconus: corneal topography for measuring the geometry of the corneal front surface, tomography for measuring the geometry of structures of the anterior segment of the eye, aberrometers for evaluation of optical aberrations of the entire eye, and a system for investigation of the biomechanical properties of the cornea. These instruments provide software tools which are designed for diagnostic support in keratoconus. In this review article, we provide an overview over the spectrum of measurement systems currently on the market focussing on their performance for detecting (early forms of) keratoconus. In detail, we focus on dedicated keratoconus screening software modules of topography, tomography, aberrometry and biomechanics.

摘要

圆锥角膜早期形态的检测对临床医生来说仍是一项挑战。除了圆锥角膜的临床检查和诊断外,临床常规中还建立了一系列检查技术来辅助圆锥角膜早期形态的诊断:用于测量角膜前表面几何形状的角膜地形图、用于测量眼前节结构几何形状的断层扫描、用于评估全眼光学像差的像差仪以及用于研究角膜生物力学特性的系统。这些仪器提供了专为圆锥角膜诊断支持而设计的软件工具。在这篇综述文章中,我们概述了目前市场上的测量系统范围,重点关注它们检测(早期形态的)圆锥角膜的性能。具体而言,我们关注角膜地形图、断层扫描、像差测量和生物力学方面专门的圆锥角膜筛查软件模块。

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