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原发性开角型青光眼的角膜偏离幅度与视野进展。

Corneal deflection amplitude and visual field progression in primary open-angle glaucoma.

机构信息

Department of Ophthalmology, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

PLoS One. 2019 Aug 12;14(8):e0220655. doi: 10.1371/journal.pone.0220655. eCollection 2019.

DOI:10.1371/journal.pone.0220655
PMID:31404083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6690643/
Abstract

PURPOSE

To investigate the relationship between corneal deflection amplitude and visual field progression rate in patients with primary open-angle glaucoma (POAG).

METHODS

This study included 113 eyes of 65 patients with POAG followed for an average of 4.81 ± 1.24 years. Evaluation of visual field progression rate was performed using mean deviation of standard automated perimetry. Corneal deflection amplitude was measured using Corvis ST (Oculus Optikgeräte GmbH, Wetzlar, Germany). Linear mixed models were performed to determine the relationship between corneal deflection amplitude, intraocular pressure (IOP), and visual field progression rate.

RESULTS

Mean age was 56.36 ± 14.58 years. Baseline average mean deviation was -8.20 ± 9.12 dB and mean treated IOP was 14.38 ± 3.08 mmHg. Average deflection amplitude was 0.90 ± 0.13 mm. In both univariate and multivariate analysis, IOP (P = 0.028 and P < 0.001, respectively) and deflection amplitude (P = 0.034 and P < 0.001, respectively) significantly affected visual field progression rate. Eyes with high IOP and greater deflection amplitude showed faster progression rate.

CONCLUSIONS

Corneal deflection amplitude was significantly related with glaucoma progression. Eyes with greater corneal deflection amplitude showed faster visual field progression rate in patients with POAG.

摘要

目的

研究原发性开角型青光眼(POAG)患者角膜偏离幅度与视野进展率之间的关系。

方法

本研究纳入了 65 例 POAG 患者的 113 只眼,平均随访 4.81±1.24 年。使用标准自动视野计平均偏差评估视野进展率。使用 Corvis ST(德国 Oculus Optikgeräte GmbH)测量角膜偏离幅度。采用线性混合模型确定角膜偏离幅度、眼内压(IOP)和视野进展率之间的关系。

结果

平均年龄为 56.36±14.58 岁。基线平均平均偏差为-8.20±9.12dB,平均治疗 IOP 为 14.38±3.08mmHg。平均偏离幅度为 0.90±0.13mm。在单变量和多变量分析中,IOP(P=0.028 和 P<0.001)和偏离幅度(P=0.034 和 P<0.001)均显著影响视野进展率。IOP 高和偏离幅度大的眼表现出更快的进展速度。

结论

角膜偏离幅度与青光眼进展显著相关。POAG 患者中角膜偏离幅度较大的眼表现出更快的视野进展速度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdc/6690643/6a1d75ac1208/pone.0220655.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdc/6690643/aa0f8b43f0bc/pone.0220655.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdc/6690643/460be7629063/pone.0220655.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdc/6690643/6a1d75ac1208/pone.0220655.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdc/6690643/aa0f8b43f0bc/pone.0220655.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdc/6690643/460be7629063/pone.0220655.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cdc/6690643/6a1d75ac1208/pone.0220655.g003.jpg

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[Dynamic Scheimpflug Analyzer (Corvis ST) for measurement of corneal biomechanical parameters : A praxis-related overview].用于测量角膜生物力学参数的动态Scheimpflug分析仪(Corvis ST):实践相关概述
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The effect of air pulse-driven whole eye motion on the association between corneal hysteresis and glaucomatous visual field progression.
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