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进展性青光眼性视神经病变球后循环的彩色多普勒成像

Color Doppler imaging of the retrobulbar circulation in progressive glaucoma optic neuropathy.

作者信息

Magureanu Marineta, Stanila Adriana, Bunescu Liviu Valentin, Armeanu Cristina

机构信息

"Ghencea Medical Center" Bucharest, Romania.

Research Center of Ocular Surface, "Lucian Blaga" University, Ophthalmology Clinic - RCOS, Sibiu, Romania.

出版信息

Rom J Ophthalmol. 2016 Oct-Dec;60(4):237-248.

PMID:29450356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5711288/
Abstract

It is known that elevated intraocular pressure (IOP) is the primary risk factor for glaucoma. Recently, more and more evidences have shown that the vascular deficit also plays an important role in the pathogenesis and progressions of glaucomatous optic neuropathy. This issue is backed up by glaucomatous optic neuropathy (GON) cases drug compensated in which the progression of the disease in one or both eyes is ascertained despite a normal and relatively constant IOP. The present study evaluated the hemodynamic parameters in the retrobulbar circulation in patients with progressive glaucomatous optic neuropathy in one eye, who received compensated medication. The hemodynamic parameters (PSV, EDV, IR) were measured by using color Doppler ultrasound and progression was evaluated by a repeated automated perimetry. The obtained values were statistically analyzed and compared with those obtained for the stable eye.

摘要

众所周知,眼压升高是青光眼的主要危险因素。最近,越来越多的证据表明,血管缺陷在青光眼性视神经病变的发病机制和进展中也起着重要作用。这一问题得到了青光眼性视神经病变(GON)药物治疗病例的支持,在这些病例中,尽管眼压正常且相对稳定,但仍可确定一只或两只眼睛的疾病进展。本研究评估了单眼进行性青光眼性视神经病变患者在接受代偿性药物治疗时球后循环的血流动力学参数。使用彩色多普勒超声测量血流动力学参数(PSV、EDV、IR),并通过重复自动视野检查评估病情进展。对获得的值进行统计分析,并与健侧眼获得的值进行比较。

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Association of obstructive sleep apnea/hypopnea syndrome with glaucomatous optic neuropathy and ocular blood flow.阻塞性睡眠呼吸暂停/低通气综合征与青光眼性视神经病变及眼血流的关联。
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本文引用的文献

1
European Glaucoma Society Terminology and Guidelines for Glaucoma, 5th Edition.欧洲青光眼学会青光眼术语和指南,第 5 版。
Br J Ophthalmol. 2021 Jun;105(Suppl 1):1-169. doi: 10.1136/bjophthalmol-2021-egsguidelines.
2
Ocular perfusion pressure and ophthalmic artery flow in patients with normal tension glaucoma.正常眼压性青光眼患者的眼灌注压和眼动脉血流
BMC Ophthalmol. 2016 Apr 14;16:39. doi: 10.1186/s12886-016-0215-3.
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Retrobulbar Hemodynamics and Visual Field Progression in Normal Tension Glaucoma: A Long-Term Follow-Up Study.正常眼压性青光眼的球后血流动力学与视野进展:一项长期随访研究
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Doppler evaluation of ocular vessels in patients with primary open angle glaucoma.原发性开角型青光眼患者眼部血管的多普勒评估
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Role of color Doppler imaging in early diagnosis and prediction of progression in glaucoma.彩色多普勒成像在青光眼早期诊断和进展预测中的作用。
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Receiver Operating Characteristic (ROC) Curve Analysis for Medical Diagnostic Test Evaluation.用于医学诊断测试评估的受试者工作特征(ROC)曲线分析。
Caspian J Intern Med. 2013 Spring;4(2):627-35.
8
Predictive value of retrobulbar blood flow velocities in glaucoma suspects.眼球后血流速度对青光眼疑似患者的预测价值。
Invest Ophthalmol Vis Sci. 2012 Jun 22;53(7):3875-84. doi: 10.1167/iovs.11-8817.
9
Glaucoma and obstructive sleep apnoea syndrome.青光眼与阻塞性睡眠呼吸暂停综合征。
Clin Exp Ophthalmol. 2012 May-Jun;40(4):408-19. doi: 10.1111/j.1442-9071.2012.02768.x. Epub 2012 Apr 24.
10
Vascular risk factors in glaucoma: a review.青光眼的血管危险因素:综述。
Clin Exp Ophthalmol. 2011 Apr;39(3):252-8. doi: 10.1111/j.1442-9071.2010.02455.x.