Shen Z M, Lu D G
Department of Ophthalmology, Heilongjiang Provincial Hospital, Harbin.
Zhonghua Yan Ke Za Zhi. 1990 Mar;26(2):95-7.
The chamber angles of 31 cases (44 eyes) of angle closure glaucoma were studied by Iwata indentation gonioscopy and Goldman gonioscopy. (1) In 39 (89%) of the 44 eyes, the extent of open filtering angle under the indentation gonioscopy was larger than the that under Goldmann gonioscopy. (2) Peripheral iridectomy was indicated in only 68% of the cases when examined by Goldmann gonioscopy, while all cases were performed peripheral iridectomies successfully as indicated by indentation gonioscopy. Therefore, indentation gonioscopy is very useful in the differentiation of functional apposition of the chamber angle from the pathological peripheral synechiae.
采用岩田压陷式前房角镜和戈德曼前房角镜对31例(44只眼)闭角型青光眼的房角进行了研究。(1)在44只眼中,39只眼(89%)在压陷式前房角镜下的开放滤过角范围大于戈德曼前房角镜下的范围。(2)用戈德曼前房角镜检查时,仅68%的病例提示行周边虹膜切除术,而压陷式前房角镜提示所有病例均成功进行了周边虹膜切除术。因此,压陷式前房角镜在鉴别房角功能性贴附与病理性周边前粘连方面非常有用。