QUANTITATIVE ANALYSIS OF RHEGMATOGENOUS RETINAL DETACHMENT ASSOCIATED WITH CHOROIDAL DETACHMENT IN CHINESE USING UBM
QUANTITATIVE ANALYSIS OF RHEGMATOGENOUS RETINAL DETACHMENT ASSOCIATED WITH CHOROIDAL DETACHMENT IN CHINESE USING UBM
复制标题
使用UBM对中国人孔源性视网膜脱离伴脉络膜脱离进行定量分析
DOI：
10.1097/iae.0b013e3182561f7c
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发表时间：
2012-11-01
影响因子：
3.3
通讯作者：
Lu, Lin
中科院分区：
文献类型：
--
作者：
Li, Zhaohui;Li, Yonghao;Lu, Lin
目的：目的：应用超声生物显微镜（ultrasound biomicroscope，UBM）观察中国人群中孔源性视网膜脱离合并脉络膜脱离（RRDCD）的临床特征。采用Goldmann压平眼压计测量眼压，Goldmann三镜透镜测量全眼底，B超检查，UBM检查。结果：1,389例孔源性视网膜脱离患者中，男性906例，女性483例。263只眼（18.79%）患有RRDCD，患者年龄范围为9 - 82岁（中位数，50.8 ± 17.7岁）。高度近视（-6.00屈光度或以上）患者占31.94%，更常见的是低眼压和多处视网膜裂孔。263眼中，UBM显示脉络膜脱离范围< 1象限9眼（3.42%），1 ~ 2象限37眼（14.07%），2 ~ 3象限13眼（4.94%），3 ~ 4象限204眼（77.57%）。超声生物显微镜也显示CD的角度范围在3.31 °和45.65 °之间（平均15.98 ± 9.29 °）。此外，UBM显示了上级（15.42 +/- 9.40度）、鼻侧（14.08 +/- 8.66度）、下侧（15.03 +/- 9.05度）和颞侧（15.96 +/- 9.22度）的CD角平均值。结论：CD相关性视网膜脱离好发于老年人或高度近视患者，多表现为低眼压和多处裂孔。UBM检查可降低RRDCD的假阴性率，定量判断CD的严重程度，指导分型和治疗。UBM联合B超检查可准确诊断孔源性视网膜脱离的程度，对前部增生性玻璃体视网膜病变的术前诊断、手术策略的制定及术后预后有重要的临床意义。RETINA 32：2020-2025，2012
Purpose: To investigate the characteristics of rhegmatogenous retinal detachment associated with choroidal detachment (RRDCD) in a Chinese population by using ultrasound biomicroscope (UBM).Methods: A random prospective study was used to assess 1,389 patients (1,408 eyes) with rhegmatogenous retinal detachment. Comprehensive standardized ophthalmic examinations included intraocular pressure (IOP) by Goldmann applanation tonometer and the entire ocular fundus by Goldmann three-mirror lens, B-type ultrasound, and UBM.Results: A total of 1,389 patients with rhegmatogenous retinal detachment participated in the study, including 906 men and 483 women. Two hundred and sixty-three eyes (18.79%) had RRDCD and the age of patients ranged from 9 to 82 years (median, 50.8 +/- 17.7 years). Patients with high myopia (-6.00 diopters or more) represented 31.94% and more frequently experienced low intraocular pressure and multiple retinal breaks. In 263 RRDCD eyes, the results of UBM showed that ranges of choroidal detachment (CD) were < 1 quadrant in 9 (3.42%) eyes, from 1 to 2 quadrants in 37 (14.07%) eyes, from 2 to 3 quadrants in 13 (4.94%) eyes, and from 3 to 4 quadrants in 204 (77.57%) eyes. ultrasound biomicroscope also showed that the angular ranges of CD were between 3.31 degrees and 45.65 degrees (mean, 15.98 +/- 9.29 degrees). In addition, UBM showed the mean values of CD angle for the superior (15.42 +/- 9.40 degrees), nasal (14.08 +/- 8.66 degrees), inferior (15.03 +/- 9.05 degrees), and temporal (15.96 +/- 9.22 degrees) sides. No statistically significant differences were found among any of these comparisons (F value = 2.011, P > 0.05).Conclusion: Retinal detachment associated with CD occurs more frequently in older people or in patients with high myopia, who usually present with low intraocular pressure and multiple retinal breaks. UBM examination can reduce false-negative rate of RRDCD, determine CD degree quantitatively, and guide classification and treatment. UBM combined with B ultrasound testing can provide a precise diagnosis of rhegmatogenous retinal detachment degree and may have important clinical significance for preoperative diagnosis of anterior proliferative vitreoretinopathy and determining operative strategy and postoperative prognosis.RETINA 32: 2020-2025, 2012