马来西亚混合人群中原发性闭角型青光眼的屈光不正与生物测量
Refractive errors and biometry of primary angle-closure disease in a mixed Malaysian population.
作者信息
Mohamed-Noor Jelinar, Abd-Salam Dhaniah
机构信息
Department of Ophthalmology, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur 50586, Malaysia.
出版信息
Int J Ophthalmol. 2017 Aug 18;10(8):1246-1250. doi: 10.18240/ijo.2017.08.10. eCollection 2017.
AIM
To assess the refractive status, anterior chamber depth (ACD) and axial length (AL) of patients with primary angle-closure disease (PACD).
METHODS
Retrospective cohort. Data was collected from charts of all PACD patients treated from April 2013 to December 2015. Analysis was done on 137 patient charts with complete biometric data. Patient demographics, PACD type, refractive status (spherical equivalent), ACD and AL were studied.
RESULTS
The median age of 137 subjects [53 with primary angle-closure suspects (PACS), 27 with primary angle-closure (PAC) and 57 with primary angle-closure glaucoma (PACG)] was 68y (range 21-88y). The majority was Chinese (=68; 49.6%) and most of them were women (=75; 54.7%). The distribution of myopia (=51; 37.2%) and hyperopia (=49; 35.8%) was similar. The ACD was shallower in myopes compared to hyperopes (=0.02) and emmetropia (=0.049) but the AL was not significantly different between groups. There were no patients blind from PACG.
CONCLUSION
Both myopia and hyperopia can occur in PACD. Despite a shallower ACD in angle closure myopes, the AL was not different between groups.
目的
评估原发性闭角型青光眼（PACD）患者的屈光状态、前房深度（ACD）和眼轴长度（AL）。
方法
回顾性队列研究。收集2013年4月至2015年12月期间所有接受治疗的PACD患者病历资料。对137份具有完整生物测量数据的患者病历进行分析。研究患者人口统计学特征、PACD类型、屈光状态（等效球镜度）、ACD和AL。
结果
137名受试者[53名原发性闭角型青光眼可疑患者（PACS）、27名原发性闭角型青光眼（PAC）和57名原发性闭角型青光眼（PACG）]的中位年龄为68岁（范围21 - 88岁）。大多数为中国人（=68；49.6%），且大多数为女性（=75；54.7%）。近视（=51；37.2%）和远视（=49；35.8%）的分布相似。与远视眼（=0.02）和正视眼（=0.049）相比，近视眼的ACD更浅，但各组之间的AL无显著差异。没有因PACG致盲的患者。
结论
PACD患者中近视和远视均可发生。尽管闭角型近视眼的ACD较浅，但各组之间的AL无差异。
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