Azuara-Blanco A, Spaeth G L, Araujo S V, Augsburger J J, Katz L J, Calhoun J H, Wilson R P
Glaucoma Service, Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Ophthalmology. 1997 Jul;104(7):1116-9. doi: 10.1016/s0161-6420(97)30175-4.
Glaucoma in infants has many causes: Evaluation of the anatomy of the anterior segment of eyes with infantile glaucoma may help to determine the pathogenesis of an infant's disease and influence therapeutic decisions.
Eleven eyes of six infants with glaucoma were evaluated with ultrasound biomicroscopy (UBM) to evaluate the anatomic characteristics and relationships of the anterior segment structures.
The anterior chamber angle, iris, lens, ciliary body, and posterior chamber angle could be imaged in detail. Elongated and anteriorly placed ciliary processes were noted in all eight eyes with trabeculodysgenesis. There were no apparent anomalies in the trabecular meshwork, or anterior chamber. In three eyes with dense corneal opacities, ultrasound biomicroscopy showed severe anterior segment disorganization and thin central corneas with posterior corneal excavation.
Ultrasound biomicroscopy is a useful non-invasive method for evaluating infants with glaucoma in cases with corneal opacities. This information can help in surgical planning for glaucoma management.
婴儿青光眼有多种病因：评估患有婴儿青光眼的眼睛前段解剖结构可能有助于确定婴儿疾病的发病机制并影响治疗决策。
对6例青光眼婴儿的11只眼睛进行超声生物显微镜检查（UBM），以评估前段结构的解剖特征及相互关系。
前房角、虹膜、晶状体、睫状体和后房角均可清晰成像。在所有8例小梁发育异常的眼睛中均发现睫状突拉长且位置靠前。小梁网或前房无明显异常。在3例角膜致密混浊的眼睛中，超声生物显微镜检查显示前段严重紊乱，中央角膜薄且有后弹力层膨出。
超声生物显微镜检查是评估伴有角膜混浊的青光眼婴儿的一种有用的非侵入性方法。这些信息有助于青光眼治疗的手术规划。
