ESTIMATION OF WIDTH OF ANGLE OF ANTERIOR CHAMBER - INCIDENCE AND SIGNIFICANCE OF NARROW ANGLE
ESTIMATION OF WIDTH OF ANGLE OF ANTERIOR CHAMBER - INCIDENCE AND SIGNIFICANCE OF NARROW ANGLE
复制标题
DOI：
10.1016/0002-9394(69)91241-0
复制
发表时间：
1969-01-01
影响因子：
4.2
通讯作者：
SCHWARTZ, A
中科院分区：
文献类型：
--
作者：
VANHERICK, W;SHAFFER, RN;SCHWARTZ, A
本研究的目的是：(1)确定不用房角镜测量前房宽度角度的方法的准确性；(2)确定正常人群中窄角的发生率。使用手电筒检查或裂隙灯生物显微镜估计配对角宽度的可靠性以前没有在任何大的患者系列中进行过检验。我们评估了5000多名接受屈光治疗的患者。对400只眼进行了房角镜检查，以确定与估计的房角宽度的相关性。所有的窄角眼均行房角镜检查。如果临床医生没有注意到房角变窄，就会错过对患者预后至关重要的基本生理发现；例如，如果使用散瞳检查，就有可能导致房角型青光眼及其所有伴随的物理和法律含义。在青光眼的分类中，房角镜是必需的。在非青光眼患者的常规检查中，进行房角镜检查是不切实际的；只有在认为角度缩小的情况下才能进行检查。眼科医生必须知道房角是否能够遮盖；这使他能够做出这样的客观判断：1.在白内障摘除等手术之前，在常规的办公室检查中决定散瞳的安全性，或在角膜或葡萄膜炎等情况下使用散瞳。
The purpose of this study was:(1) to de termine the accuracy of methods for evaluat ing the angle of the anterior chamber width without resorting to gonioscopy and (2) to determine the incidence of narrow angles in a normal population. The reliability of esti mating angle width by use of flashlight in spection or slitlamp biomicroscopy has not previously been checked in any large series of patients. We evaluated over 5,000 patients seen for refraction. Four hundred eyes were examined by gonioscopy to determine the correlation with the estimated angle width. All narrow-angle eyes were gonioscoped. The clinician who fails to note a narrowed angle is missing a fundamental physical find ing of vital prognostic importance to the pa tient; if mydriatics are used, for example, there is the risk of precipitating an angleclosure glaucoma with all its attendant physi cal and legal implications.Gonioscopy is required in the classifica tion of glaucoma. In the routine examination of nonglaucomatous patients it is impractical to perform gonioscopy; it is done only if the angles are thought to be narrowed. The oph thalmologist must know whether or not the angle is capable of occlusion; this permits him to make such objective judgments as: 1. Deciding on the safety of mydriasis in routine office examinations, prior to such surgery as cataract extraction, or its thera peutic use in such conditions as corneal ul cers or uveitis.