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小梁切除术对开角型青光眼患者眼高阶像差的影响。

Effect of trabeculectomy on ocular higher-order aberrations in patients with open angle glaucoma.

作者信息

Fard Ali Mahdavi, Sorkhabi Rana Daei, Nasiri Kamal, Tajlil Arezou

机构信息

Department of Ophthalmology, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

North Clin Istanb. 2018 Jan 26;5(1):54-57. doi: 10.14744/nci.2017.80958. eCollection 2018.

DOI:10.14744/nci.2017.80958
PMID:29607433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5864708/
Abstract

OBJECTIVE

The aim of this study was to evaluate the effect of trabeculectomy on ocular higher-order aberrations following surgery in a group of patients with open angle glaucoma.

METHODS

In this prospective study, patients with primary open angle glaucoma underwent wavefront aberrometry before trabeculectomy with mitomycin-C. Coma-like, spherical-like, and total ocular higher-order aberrations were measured as root mean square values. The measurements were repeated 1 month and 3 months after the procedure.

RESULTS

A total of 20 eyes from 20 patients were examined. There was a significant decrease in intraocular pressure following surgery at 1 month and 3 months postoperatively. However, there was no statistically significant change in the spherical equivalent of the eyes. One month after surgery, a significant change in coma-like, spherical-like, and total higher-order aberrations of the eyes was observed. However, the repeated measurements performed 3 months after procedure revealed no significant difference compared to the baseline values.

CONCLUSION

Ocular higher-order aberrations increased 1 month following trabeculectomy surgery. However, this effect seems to be transient, as the values returned to the preoperative measurement 3 months after the procedure.

摘要

目的

本研究旨在评估小梁切除术对一组开角型青光眼患者术后眼高阶像差的影响。

方法

在这项前瞻性研究中,原发性开角型青光眼患者在接受丝裂霉素C小梁切除术前接受了波前像差测量。将类彗差、类球差和总眼高阶像差测量为均方根值。在手术后1个月和3个月重复测量。

结果

共检查了20例患者的20只眼。术后1个月和3个月时眼压显著降低。然而,眼睛的等效球镜度没有统计学上的显著变化。术后1个月,观察到眼睛的类彗差、类球差和总高阶像差有显著变化。然而,术后3个月进行的重复测量显示与基线值相比无显著差异。

结论

小梁切除术后1个月眼高阶像差增加。然而,这种影响似乎是短暂的,因为术后3个月这些值恢复到术前测量值。

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本文引用的文献

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Primary angle closure glaucoma: What we know and what we don't know.原发性闭角型青光眼:我们已知和未知的。
Prog Retin Eye Res. 2017 Mar;57:26-45. doi: 10.1016/j.preteyeres.2016.12.003. Epub 2016 Dec 28.
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Incidence of short-term complications and associated factors after primary trabeculectomy in Chiang Mai University Hospital.清迈大学医院原发性小梁切除术后短期并发症的发生率及相关因素
Indian J Ophthalmol. 2016 Oct;64(10):737-742. doi: 10.4103/0301-4738.195011.
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Visual outcomes of a new toric trifocal diffractive intraocular lens.新型复曲面三焦点衍射型人工晶状体的视觉效果
J Cataract Refract Surg. 2015 Dec;41(12):2695-706. doi: 10.1016/j.jcrs.2015.07.033.
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Corneal coma and trefoil changes associated with incision location in cataract surgery.白内障手术中与切口位置相关的角膜水肿和三叶状改变。
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The change in ocular higher-order aberrations after pterygium excision with conjunctival autograft: a 1-year prospective clinical trial.翼状胬肉切除联合自体结膜瓣移植术后眼高阶像差的变化:一项为期 1 年的前瞻性临床试验。
Cornea. 2012 Dec;31(12):1428-31. doi: 10.1097/ICO.0b013e3182431465.
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Effect of trabeculectomy on ocular and corneal higher order aberrations.小梁切除术对眼和角膜高阶像差的影响。
Jpn J Ophthalmol. 2011 Sep;55(5):460-466. doi: 10.1007/s10384-011-0063-x. Epub 2011 Jul 20.
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Hypotony following trabeculectomy.小梁切除术后低眼压。
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Nine-year follow-up of trabeculectomy with or without low-dosage mitomycin-c in primary open-angle glaucoma.原发性开角型青光眼小梁切除术联合或不联合低剂量丝裂霉素C的九年随访
Br J Ophthalmol. 2008 Dec;92(12):1666-70. doi: 10.1136/bjo.2008.140939. Epub 2008 Sep 9.
9
Changes in higher-order aberrations after scleral buckling surgery for rhegmatogenous retinal detachment.孔源性视网膜脱离巩膜扣带术后高阶像差的变化
Ophthalmology. 2008 Jul;115(7):1216-21. doi: 10.1016/j.ophtha.2007.09.016. Epub 2007 Nov 12.
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Influence of tilt and decentration of scleral-sutured intraocular lens on ocular higher-order wavefront aberration.巩膜缝线固定人工晶状体倾斜和偏心对眼高阶波前像差的影响。
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