期刊论文详细信息
Arquivos Brasileiros de Oftalmologia
New considerations on pupillary block mechanim
Sebastião Cronemberger1  Nassim Calixto1  André Oliveirade Andrade1  Rafael Vidal Mérula1 
[1] ,Federal University of Minas Gerais School of Medicine Belo Horizonte MG ,Brazil
关键词: Glaucoma;    angle-closure;    Microscopy;    Anterior chamber;    Lens;    crystalline;    Iris;    Glaucoma de ângulo fechado;    Microscopia;    Câmara anterior;    Cristalino;    Íris;   
DOI  :  10.1590/S0004-27492010000100002
来源: SciELO
PDF
【 摘 要 】

PURPOSE: To study the mechanisms of pupillary block in eyes with occludable angle by ultrasound biomicroscopy. METHODS: Initially, a pilot study of 13 eyes with acute primary angle-closure without medication was executed. Ultrasound biomicroscopy measurements of the angle, posterior chamber depth and iris thickness were performed in the temporal quadrant under light and dark conditions. Afterwards, ultrasound biomicroscopy measurements of iris-lens contact distance and iris-lens angle in the temporal quadrant and central anterior chamber depht were made in 32 eyes with acute primary angle-closure or intermittent primary angle-closure without medication, under light and dark conditions before and after laser peripheral iridectomy. RESULTS: In the pilot study, a significant decrease in the angle as well as a significant increase in the iris thickness occurred when comparing light to dark conditions. Before and after laser peripheral iridectomy (second study), significant differences were found in iris-lens contact distance (P<0.001) and iris-lens angle (P<0.001) under light and dark conditions. Also, significant differences were found in light and dark conditions, before laser peripheral iridectomy, in iris-lens angle (P=0.005), and after laser peripheral iridectomy, in iris-lens contact distance (P<0.001). No significant change occurred with anterior chamber depth. CONCLUSIONS: A decreased angle was correlated to an increase in iris thickness. After laser peripheral iridectomy, acute primary angle-closure or primary angle-closure eyes had an increased iris-lens contact distance and a decreased iris-lens angle. The anterior chamber depth did not change. These findings contradict the theory that pupillary block is the mechanism of acute primary angle-closure.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License

【 预 览 】
附件列表
Files Size Format View
RO202103040003184ZK.pdf 576KB PDF download
  文献评价指标  
  下载次数:8次 浏览次数:14次