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61.
62.
Changes in optic nerve head blood flow and retrobular hemodynamics following calcium-channel blocker treatment of normal-tension glaucoma 总被引:2,自引:0,他引:2
Tomita G Niwa Y Shinohara H Hayashi N Yamamoto T Kitazawa Y 《International ophthalmology》1999,23(1):3-10
Background: Because calcium channel blockers reduce vascularresistance, they may have a clinical application in the treatment ofnormal-tension glaucoma (NTG). This study investigates changes inboth the optic disc blood flow and the hemodynamics of retrobulbarvessels in NTG patients after the systemic administration of a calcium channel blocker. Methods: Twelve eyes of 12 NTG patients (meanage 57 6 ± 15.3 years) were examined before and after a 4-weektreatment with 2 mg b.i.d. oral nilvadipine, an L-typc calcium channel blocker. By scanning laser-Doppler flowmetry (SLDF), we obtained the velocity, flow, and volume from within a 10 × 10 pixel windowplaced on the temporal rim region of the optic disc perfusion map. Byultrasound color Doppler imaging (CDI), we measured the peak systolicvelocity (PSV) and the end diastolic velocity (EDV) of the ophthalmicartery (OA), central retinal artery (CRA), nasal posterior ciliary artery (NPCA), and temporal posterior ciliary artery (TPCA). We then calculated a resistance index (RI) for each vessel. Results: After treatment, the flow and velocity of the optic disc blood flow significantly increased (P < 0.05).Nilvadipine also significantly reduced RIs of the CRA, NPCA, and TPCA(P <0 .05), and increased both the PSV of the NPCA and the EDVs of the CRA, NPCA, and TPCA. The percent change in velocity correlated significantly with the percent changes of the CRA RI and NPCA RI. Conclusions: Oral nilvadipine appears to reduce orbital vascular resistance, which consequentlyincreases the optic disc blood flow.
Abbreviations.BP – blood pressure;CRA – central retinal artery;CDI – ultrasound color Doppler imaging;EDV – end diastolic velocity;NPCA – short posterior ciliary arteries located nasal to optic nerve;NTG – normal-tension glaucoma;OA – ophthalmic artery;PP – perfusion pressure;PSV – peak systolic velocity;RI – resistance index;SLDF scanning laser-Doppler flowmetry;TPCA – short posterior ciliary arteries locatedtemporal to optic nerve. 相似文献
63.
Alain M. Bron Catherine Creuzot-Garcher Sophie Goudeau-Boutillon Philippe d’Athis 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》1999,237(3):220-224
· Purpose: To evaluate whether ocular hypertensive subjects have a higher central corneal thickness than other individuals.
· Methods: In this prospective study, 48 subjects with ocular hypertension, 63 patients with open-angle glaucoma, 56 nonglaucomatous
patients with diabetes mellitus, and 106 control subjects were evaluated. Corneal thickness was measured by ultrasound pachymetry,
and intraocular pressure was determined by Goldmann applanation tonometry. · Results: Central corneal thickness was significantly
higher in the ocular hypertensive subjects, mean ±S.D., 592±39 μm, than in the patients with glaucoma (536±34 μm), the nonglaucomatous
patients with diabetes mellitus (550±31 μm), and the normal subjects (545±33 μm), P<0.001. The three latter groups did not vary significantly in central corneal thickness, P>0.05. · Conclusion: In some individuals with increased transcorneal measurements of intraocular pressure, the cornea is thicker
than in subjects with normal intraocular pressure readings or patients with glaucoma. It suggests that in ocular hypertensive
subjects, corneal pachymetry should be performed to rule out an abnormally thick cornea as a reason for falsely high measurements
of intraocular pressure.
Received: 14 April 1998 Revised version received: 10 July 1998 Accepted: 23 July 1998 相似文献
64.
Filtration procedures supplemented with mitomycin C in the management of childhood glaucoma 总被引:1,自引:0,他引:1
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A. Azuara-Blanco R. Wilson G. Spaeth C. Schmidt J. Augsburger 《The British journal of ophthalmology》1999,83(2):151-156
AIMS: To evaluate the outcome of filtering procedures supplemented with mitomycin C in children with glaucoma. METHODS: All patients aged 17 or younger with glaucoma who underwent filtering surgery supplemented with mitomycin C at a tertiary care centre (n = 21) during a 5 year interval (1992 and 1996) were included. One eye for each patient was entered into the analysis. The postoperative intraocular pressure (IOP), use of antiglaucoma medications, clinical stability of glaucoma, complications, and visual acuity were retrospectively evaluated. Kaplan-Meier survival curves were used to estimate the probability of success. RESULTS: At the time of surgery mean age was 5.7 (SD 5.0) years. The most common diagnoses were trabeculodysgenesis (n = 6) and aphakic glaucoma (n = 8). Mean IOP before surgery was 35.7 (10.5) mm Hg. Average length of follow up was 18.6 (14.7) months. The probability of having IOP less than 21 mm Hg with no antiglaucoma medications and with clinically stable glaucoma 1 year after surgery was 76.9% in phakic eyes (n = 13) and 0% in aphakic eyes (n = 8). A phakic patient with Sturge-Weber's syndrome had choroidal effusion after surgery that resolved spontaneously. In the aphakic group one patient had retinal detachment and another developed an encapsulated bleb. Visual acuity deteriorated in one patient. CONCLUSION: A guarded filtration procedure with mitomycin C is relatively successful in phakic children with glaucoma, but unsuccessful in aphakic ones. 相似文献
65.
硅油继发青光眼的发病相关因素及治疗的初步探讨 总被引:7,自引:0,他引:7
探讨硅油继发青光眼的发病相关因素及治疗。方法对行玻璃体切割,硅油注入术的275例患者术后随访结果进行回顾性研究。结果硅油继发青光眼的发病率为11.3%,随着硅油在眼内存留时间的延长,其发病率增高。 相似文献
66.
Purpose: To observe the inhibitory action of homoharringtonine liposome during the healing process of wounds in the filtering sitesMethods: posterior sclerectomies were performed in 14 rabbits. Postoperatively one eye of each rabbit received subconjunctival injections of HH liposome and fellow eye received saline injection in a randomized masked fashion.Results; Fourteen days after operation the IOP of experimental eyes reduced significantly (P < 0.01) as compared with the controlled eyes, and the number of remaining filtering blebs increased noticeably (P< 0.05). Pathohistological examination revealed that the number of fibroblasts per square micron in the filtering sites and the thickness of the scars in the center of the filtering sites of the experimental eyes were less than those of the controlled eyes. No serious ocular toxic and side effects were found.Conclusion : This experiment suggests that homoharringtonine liposome can markedly inhibit the scar formation of filtering sites after glaucoma fi 相似文献
67.
目的探讨抗心磷脂抗体(ACA)与青光眼疾患的临床相关意义。方法对26例青光眼患者及11例非青光眼患者,采用抗心磷脂抗体酶免疫(ELISA)测定法,进行抗心磷脂抗体检测。结果青光眼组IgGACA与IgMACA值均比对照组高,有显著差异(P<0.05);其中开角型青光眼IgGACA与对照组之IgGACA值比较无显著差异(P>0.05);开角型青光眼IgMACA与对照组之IgMACA值比较有显著差异(P<0.05)。闭角型青光眼与对照组比较:IgGACA与IgM之ACA值比较均有显著差异(P<0.05)。结论青光眼病人的抗心磷脂抗体较高,预测可能产生视网膜静脉阻塞,需进一步追踪随访 相似文献
68.
目的评价睫状体冷冻术联合巩膜穿刺术在治疗绝对期青光眼中的应用。方法对绝对期青光眼47眼施行睫状体冷冻术联合巩膜穿刺术,观察术后3a内眼压变化。结果全部病例术后高眼压症都获缓解,对术后早期眼压反弹,本术较单纯施行睫状体冷冻术者控制眼压疗效好(P<0.01),且无副作用和并发症。结论睫状体冷冻术联合巩膜穿刺术是治疗绝对期青光眼更简便、安全、有效的手术选择。 相似文献
69.
减压阀引流术治疗新生血管性青光眼 总被引:26,自引:3,他引:23
为评价青光眼减压阀引流术治疗新生血管性青光眼,在视网膜血管性疾病、糖尿病、眼外伤所致的新生血管性青光眼29例29眼施行青光眼减压阀引流术,植入Ahmed减压阀20眼,Krupin减压阀9眼。青光眼控制标准为6mmHg≤眼压≤21mmHg,视功能保持或有所改善。结果:手术总成功率75.86%,眼压从术前平均52.56±14.51mmHg下降到20.15±13.26mmHg,平均随访17.83个月。有7眼在眼压正常后虹膜新生血管完全消退。术后3个月成功率79.31%,6个月成功率76.19%,1年成功率66.67%。主要手术并发症有前房导管口阻塞13.79%,浅前房10.34%,前房出血3.45%。结论:青光眼减压阀引流术治疗新生血管性青光眼获得较为满意的疗效,是目前值得推荐的治疗选择。 相似文献
70.
探讨发生于无晶体眼和人工晶体眼的青光眼的有效的手术治疗方法。方法:回顾分析1992年11月~1997年6月我院45例45眼发生于无晶体眼和人工晶体眼的青光眼的住院病例的临床资料。手术方法包括小梁切除术、睫状体冷冻术、青光眼减压阀植入引流术以及其他手术。结果:青光眼减压阀植入引流术控制眼内压优于睫状体冷冻术和小梁切除术,术后合并使用降眼压药物少于睫状体冷冻术后。结论:发生于无晶体眼和人工晶体眼的青光眼的治疗需根据临床情况考虑,青光眼减压阀植入引流术有较好的疗效 相似文献