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格雷夫斯眼病中的眼眶顺应性

Orbital compliance in Graves' eye disease.

作者信息

Frueh B R, Musch D C, Grill R, Garber F W, Hamby S

出版信息

Ophthalmology. 1985 May;92(5):657-65. doi: 10.1016/s0161-6420(85)33990-8.

DOI:10.1016/s0161-6420(85)33990-8
PMID:3839299
Abstract

Thirty-three patients with Graves' eye disease (GED) and 68 normal subjects had their orbital compliance measured by determining the force generated on retropulsing the eye and also estimated on digital retropulsion, and their eye position determined with an exophthalmometer. Patients with compressive optic neuropathy showed significantly higher mean forward force on retropulsion than other Graves' eye disease patients or normal subjects, supporting the theory that the tissue is compressed in these orbits. There is a suggestion that orbital compliance testing of a GED patient without compressive optic neuropathy may be of value in predicting the risk of the patient developing compressive optic neuropathy. There is no association between the force on ocular retropulsion and the exophthalmometer reading. The digital estimation of the resistance to retropulsion did not reliably suggest the measured forces.

摘要

33例格雷夫斯眼病(GED)患者和68名正常受试者通过测定眼球后推时产生的力并通过数字后推法进行估算来测量眼眶顺应性,并用眼球突出计确定其眼球位置。患有压迫性视神经病变的患者眼球后推时的平均向前力显著高于其他格雷夫斯眼病患者或正常受试者,这支持了这些眼眶组织受到压迫的理论。有迹象表明,对无压迫性视神经病变的GED患者进行眼眶顺应性测试可能有助于预测患者发生压迫性视神经病变的风险。眼球后推力与眼球突出计读数之间无关联。对后推阻力的数字估算并不能可靠地反映所测的力。

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