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中央角膜厚度是否是决定高眼压症患者管理方案的可靠独立因素?

Is Central Corneal Thickness a reliable independent factor in decision-making regarding the management of patients with high IOP?

机构信息

"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

出版信息

Rom J Ophthalmol. 2020 Jan-Mar;64(1):25-27.

PMID:32292854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7141911/
Abstract

As time passes, we discover that things that were supposedly considered to be well known are in fact not as they seemed. Maybe the process is like this because we try to simplify our daily practice, but by doing so, don't we tend to trespass the whole picture? However, what happens if these factors affect our decision-making? Clinicians should incorporate CCT into the thinking process and should not focus on "corrected IOPs", because, besides CCT, there are many factors of corneal biomechanics that affect IOP.

摘要

随着时间的推移,我们发现那些被认为是众所周知的事情实际上并非如此。也许这个过程是因为我们试图简化我们的日常实践,但这样做,我们不是倾向于侵犯整个画面吗?然而,如果这些因素影响我们的决策会怎样呢?临床医生应该将 CCT 纳入思维过程,而不应仅仅关注“矫正的IOP”,因为除了 CCT 之外,还有许多影响 IOP 的角膜生物力学因素。

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Is Central Corneal Thickness a reliable independent factor in decision-making regarding the management of patients with high IOP?中央角膜厚度是否是决定高眼压症患者管理方案的可靠独立因素?
Rom J Ophthalmol. 2020 Jan-Mar;64(1):25-27.
2
Relationship between corneal biomechanical properties, central corneal thickness, and intraocular pressure across the spectrum of glaucoma.青光眼各阶段的角膜生物力学特性、中央角膜厚度与眼内压的关系。
Am J Ophthalmol. 2012 May;153(5):840-849.e2. doi: 10.1016/j.ajo.2011.10.032. Epub 2012 Feb 4.
3
Corneal biomechanics and biomechanically corrected intraocular pressure in primary open-angle glaucoma, ocular hypertension and controls.原发性开角型青光眼、高眼压症和正常对照人群的角膜生物力学和生物力学矫正眼内压。
Br J Ophthalmol. 2020 Jan;104(1):121-126. doi: 10.1136/bjophthalmol-2018-313493. Epub 2019 Mar 28.
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Corneal thickness- and age-related biomechanical properties of the cornea measured with the ocular response analyzer.使用眼反应分析仪测量的角膜厚度及年龄相关的角膜生物力学特性。
Invest Ophthalmol Vis Sci. 2006 Dec;47(12):5337-47. doi: 10.1167/iovs.06-0557.
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The Influence of Corneal Biomechanical Properties on Intraocular Pressure Measurements Using a Rebound Self-tonometer.角膜生物力学特性对回弹眼压计眼压测量的影响。
J Glaucoma. 2018 Jun;27(6):511-518. doi: 10.1097/IJG.0000000000000948.
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Corneal biomechanical properties affect Goldmann applanation tonometry in primary open-angle glaucoma.角膜生物力学特性影响原发性开角型青光眼的 Goldmann 压平眼压测量。
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Relationship between novel intraocular pressure measurement from Corvis ST and central corneal thickness and corneal hysteresis.新型 Corvis ST 眼压测量值与中央角膜厚度和角膜滞后量的关系。
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The effect of thin, thick, and normal corneas on Goldmann intraocular pressure measurements and correction formulae in individual eyes.薄角膜、厚角膜和正常角膜对各眼 Goldmann 眼压测量值和校正公式的影响。
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Goldmann applanation tonometry and dynamic contour tonometry are not correlated with central corneal thickness in primary open angle glaucoma.Goldmann 压平眼压测量法和动态轮廓眼压测量法与原发性开角型青光眼的中央角膜厚度无相关性。
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本文引用的文献

1
Corneal thickness: It's time we all get rid of the correction factor from the glaucoma equation!角膜厚度:是时候我们都摒弃青光眼计算公式中的校正因子了!
Oman J Ophthalmol. 2018 Jan-Apr;11(1):1-2. doi: 10.4103/ojo.OJO_220_2017.
2
Is corneal thickness an independent risk factor for glaucoma?角膜厚度是青光眼的独立危险因素吗?
Ophthalmology. 2012 Mar;119(3):435-6. doi: 10.1016/j.ophtha.2012.01.018.
3
The effect of thin, thick, and normal corneas on Goldmann intraocular pressure measurements and correction formulae in individual eyes.薄角膜、厚角膜和正常角膜对各眼 Goldmann 眼压测量值和校正公式的影响。
Ophthalmology. 2012 Mar;119(3):443-9. doi: 10.1016/j.ophtha.2011.07.058. Epub 2011 Oct 27.
4
Adjusting intraocular pressure for central corneal thickness does not improve prediction models for primary open-angle glaucoma.调整中央角膜厚度的眼内压并不能改善原发性开角型青光眼的预测模型。
Ophthalmology. 2012 Mar;119(3):437-42. doi: 10.1016/j.ophtha.2011.03.018. Epub 2011 Jun 25.
5
Central corneal thickness and corneal hysteresis associated with glaucoma damage.中央角膜厚度和角膜滞后与青光眼损害相关。
Am J Ophthalmol. 2006 May;141(5):868-75. doi: 10.1016/j.ajo.2005.12.007. Epub 2006 Mar 9.
6
Determining in vivo biomechanical properties of the cornea with an ocular response analyzer.使用眼反应分析仪测定角膜的体内生物力学特性。
J Cataract Refract Surg. 2005 Jan;31(1):156-62. doi: 10.1016/j.jcrs.2004.10.044.