Qian Yiyong, Liu Lin, Shi Yuehui, Wang Minli, Li Min, Zou Jun
Department of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, P. R. China.
J Int Med Res. 2019 Dec;47(12):5950-5956. doi: 10.1177/0300060519867808. Epub 2019 Oct 8.
To investigate the clinical indications of ultrasound biomicroscopy (UBM) and anterior segment optical coherence tomography (AS-OCT) in eyes with inflammatory glaucoma.
Sixteen patients (16 eyes) with inflammatory glaucoma were analysed retrospectively. All of the subjects underwent UBM and AS-OCT scans, measuring the following parameters: central corneal thickness (CCT), central anterior chamber depth (ACD), angle-opening distance (AOD500), and trabecular-iris angle (TIA500) in four quadrants.
Both the UBM and AS-OCT generated detailed, high-resolution images of the anterior segments of the eyes with inflammatory glaucoma. Moreover, the UBM and AS-OCT exhibited statistically similar measurement results for all of the indices. A Bland–Altman analysis showed a high level of agreement between the two imaging techniques. Additionally, the UBM was able to visualize the ciliary body and pars plana, while the cells and the flare in the anterior chamber appeared more pronounced in the UBM images.
Both the UBM and AS-OCT are useful tools for anterior segment imaging and taking measurements needed for evaluating inflammatory glaucoma. The AS-OCT has the advantages of being noninvasive and fast, whereas the UBM is presently unparalleled in the visualization of the ciliary body and pars plana.
探讨超声生物显微镜（UBM）和眼前节光学相干断层扫描（AS-OCT）在炎症性青光眼患者眼部的临床应用指征。
回顾性分析16例（16只眼）炎症性青光眼患者。所有受试者均接受UBM和AS-OCT扫描，测量以下参数：中央角膜厚度（CCT）、中央前房深度（ACD）、房角开放距离（AOD500）以及四个象限的小梁-虹膜夹角（TIA500）。
UBM和AS-OCT均生成了炎症性青光眼患者眼前节的详细、高分辨率图像。此外，对于所有指标，UBM和AS-OCT的测量结果在统计学上相似。Bland–Altman分析显示这两种成像技术之间具有高度一致性。此外，UBM能够显示睫状体和平坦部，而UBM图像中前房内的细胞和闪光更为明显。
UBM和AS-OCT都是眼前节成像以及获取评估炎症性青光眼所需测量值的有用工具。AS-OCT具有无创、快速的优点，而UBM目前在睫状体和平坦部的可视化方面无与伦比。
