| | | | | 后极部小眼征的临床分析 | | | 赵广健;张汉君;夏江胜;童绎 | | | 目的探讨超声波检查对后极部小[征[球生物值测量的意义及其生物值之间的相关关系。方法通过对21例(42[)后极部小[征患者行1%阿托品散瞳、检影验光、角膜直径、[压、角膜曲率、[底照相及用[科A超行[球生物值(包括前房深度、晶状体厚度及玻璃体腔轴长)测量,再通过医学统计软件对[球生物值进行分析。结果21例(42[)患者屈光不正平均(+9.88±1.96)DS,42只[角膜直径、[压、角膜曲率及前房深度、晶状体厚度测量值均在正常范围。[轴长平均(19.96±0.98)mm,玻璃体腔轴长(13.12±0.91)mm,玻璃体腔轴长明显短小。屈光不正(RE)与前房深度(AC)相关系数(r=0.1925,p=0.2219,p>0.05),无统计学意义;RE与晶状体厚度(LT)相关系数(r=-0.4257,p=0.0049,p<0.05),有显著的统计学意义;RE与玻璃体腔轴长(AVL)相关系数(r=-0.3923,p=0.0102,p<0.05),有显著的统计学意义。结论后极部小[征因[球后极部玻璃体腔短小,造成[轴长较正常人短,常合并有高度远视,临床上可用超声波检查诊断之。若能及早得到视力的矫正,可能促进视力的正常发育。
【作者单位】：福建省福州东南眼科医院;福建省福州东南眼科医院;福建省福州东南眼科医院;福建医学大学附属第一医院眼科
【关键词】：后极部小眼征;玻璃体腔轴长;轴性高度近视;超声波检查
【分类号】：R771.1
【DOI】：cnki:ISSN:1006-4443.0.2006-11-041
【正文快照】：
后极部小眼征是较罕见的眼前段结构正常(包括角膜、瞳孔、前房、晶状体),而后极部(玻璃体腔)较短的疾病,由于其眼轴较短(<22mm),在临床上多表现为高度远视及视网膜皱褶,亦可伴有其他眼底异常。高度远视在人群中占的比例较高度近视少,较为罕见。本文通过三年来的观察,对发现的高 | | |
| | |  推荐 下载CAJ全文  下载PDF全文 | | | CAJViewer7.0阅读器支持所有CNKI文件格式，AdobeReader仅支持PDF格式 | | | | Clincal analysis of posterior microphthalmos | | | ZHAO Guangjian;ZHANG Hanjun;XIA Jiangsheng;et al.Southeast eye hospital of Fuzhou;Fuzhou 350002;China | | | Objective To investigate the significance of ultrasonographic examination in posterior microphthalmos (PM) and relationship between the biological values of the eyeball.Methods 21 cases (42 eyes) patients between the age of 5 and 27 years with posterior microphthalmos.Including mydriatic with 1% atropine,diameter of cornea,intraocular pressure,corneal curvature,fundus photograph and ultrasonographic examination (including anterior chamber,lens thickness,axial vitreous length),then the data was analyzed using medical statistics soft.Results All patients had bilateral foreshortening of the posterior ocular segment (average,13.12 ± 0.91mm) with associated high hyperopia (average,+9.88 ± 1.96 diopters) and normal or slightly smaller than normal anterior segment dimensions.There was no significant difference between refrac-tive error (RE) and anterior chamber (AC) (r=0.1925,p=0.2219,p>0.05),and significant difference between RE and lens thickness (LT) (r=-0.4257,p=0.0049,p<0.05) were found.The difference of RE and axial vitreous length (AVL) was significant (r=-0.3923,p=0.0102,p<0.05).Conclusions Posterior microphthalmos is which the posterior sgement is reduced in size than noamal,this results in extreme axial hyperopia and visual impairment.And it could be diagnosed by ultrasongraphic examination,early appropriate managements maybe could im-prove visual fuction in such patients.
【Keyword】：pasterior microphthalmos;axial vitreous length;extreme axial hyperopia;ultrasongraphic examination |
| | | | | | 1 | 赵广健,张汉君,夏江胜,童绎; 后极部小眼征的临床分析 [J];中国实用眼科杂志; 2006年11期; 114-116 |
|
|
|