白内障手术前后前房改变的超声生物显微镜量化测量及眼压变化规律的观察与意义
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摘要
目的:通过采用超声生物显微镜(UBM)对白内障手术前后前房的量化测量与比较以及对白内障手术前后眼压变化情况的观察,探讨前房形态及眼压的变化规律与意义。
方法:对50例(50只眼)老年性白内障患者,均行超声乳化白内障吸除联合折叠式人工晶状体植入术,分别于术前和术后1、2、3个月用超声生物显微镜量化测量前房深度和前房角宽度,观察人工晶体位置并于术后1、3、7、15天,1、2、3月测量眼压及视力,观察眼部并发症。
结果:
1、全部患者术后1、2、3月时前房深度(ACD)、500μm处小梁虹膜夹角(TIA500)、500μm和250μm处前房角开放距离(AOD500、AOD250)、小梁睫状体距离(TCPD)、巩膜睫状体夹角(CPSA)与术前比较均显著增大,且均有显著性差异(P＜0.05)。
2、术后1月、2月和3月时,上述各值相互比较均无显著性差异(P＞0.05)。
3、术后眼压比术前均有一定程度下降,前者与后者比较有显著性差异(P＜0.05),术后各时间点眼压相互比较,均无显著性差异(P＞0.05)。
4.术后视力明显优于术前(P＜0.05),人工晶体都位于囊袋内,均未见严重并发症。
结论:
1、超声乳化白内障吸除联合折叠式人工晶状体植入术后的前房与术前相比,前房明显加深,房角明显加宽,且在术后一月基本稳定。
2、超声乳化白内障吸除联合折叠式人工晶状体植入术能明显降低眼内压。
Objective: To quantitatively measure and compare the changes of anterior chamber by using ultrasound biomicroscopy, and to observe the changes of intraocular pressure before and after cataract surgery, discussing the change law and the significance of anterior chamber morphological features and intraocular pressure.
Methods: The operation of phacoemulsification and foldable IOL implantation were performed in 50 eyes of 50 senior cataract patients .The depth of anterior chamber and the width of anterior chamber angle were determined quantitatively and the position of the intraocular lenses was discovered by using ultrasound biomicroscopy before and 1st、2nd、3rd month after the surgery. The visual acuity and intraocular pressure were measured in 1st、3rd、7th、15th day and 1st、2nd、3rd month after the surgery. The ocular complications were discovered at the same time.
Results:
1.In all patients , there was significant difference( P <0.05) of ACD (anterior chamber distance),TIA500 (trabecular-iris angle at 500μm from the scleral spur), AOD500 (angle- opening distance at 500μm from the scleral spur) and AOD250 (angle-opening distance at 250μm from the scleral spur) , TCPD ( trabecular-ciliary processes distance ), CPSA(ciliary-scleral angle) among 1st、2nd、3rd month pre-operation and post-operation .And they were all increased significantly after the operation.
2. There was no significant difference (P>0.05) of above -mentioned measurements among the 1st、2nd、3rd month after surgery.
3.The intraocular pressure of post-operation was lower than pre-operation and there was significant difference( P <0.05) between them. But there was no significant difference (P > 0.05) among the each time points post-operation.
4. The postoperative visual acuity was significantly better than preoperative visual acuity( P< 0.05).All intraocular lenses were implanted in the bag and shown the well symmetrical in posterior chamber. Serious ocular complications were not discovered after surgery.
Conclusions:
1. The anterior chamber angle was widened and the anterior chamber distance was deepened significantly after the operation of phacoemulsification and foldable IOL implantation. The measurements kept stable on 1st month after surgery.
2. The intraocular pressure was also reduced to some extent after this surgery.
方法:对50例(50只眼)老年性白内障患者,均行超声乳化白内障吸除联合折叠式人工晶状体植入术,分别于术前和术后1、2、3个月用超声生物显微镜量化测量前房深度和前房角宽度,观察人工晶体位置并于术后1、3、7、15天,1、2、3月测量眼压及视力,观察眼部并发症。
结果:
1、全部患者术后1、2、3月时前房深度(ACD)、500μm处小梁虹膜夹角(TIA500)、500μm和250μm处前房角开放距离(AOD500、AOD250)、小梁睫状体距离(TCPD)、巩膜睫状体夹角(CPSA)与术前比较均显著增大,且均有显著性差异(P＜0.05)。
2、术后1月、2月和3月时,上述各值相互比较均无显著性差异(P＞0.05)。
3、术后眼压比术前均有一定程度下降,前者与后者比较有显著性差异(P＜0.05),术后各时间点眼压相互比较,均无显著性差异(P＞0.05)。
4.术后视力明显优于术前(P＜0.05),人工晶体都位于囊袋内,均未见严重并发症。
结论:
1、超声乳化白内障吸除联合折叠式人工晶状体植入术后的前房与术前相比,前房明显加深,房角明显加宽,且在术后一月基本稳定。
2、超声乳化白内障吸除联合折叠式人工晶状体植入术能明显降低眼内压。
Objective: To quantitatively measure and compare the changes of anterior chamber by using ultrasound biomicroscopy, and to observe the changes of intraocular pressure before and after cataract surgery, discussing the change law and the significance of anterior chamber morphological features and intraocular pressure.
Methods: The operation of phacoemulsification and foldable IOL implantation were performed in 50 eyes of 50 senior cataract patients .The depth of anterior chamber and the width of anterior chamber angle were determined quantitatively and the position of the intraocular lenses was discovered by using ultrasound biomicroscopy before and 1st、2nd、3rd month after the surgery. The visual acuity and intraocular pressure were measured in 1st、3rd、7th、15th day and 1st、2nd、3rd month after the surgery. The ocular complications were discovered at the same time.
Results:
1.In all patients , there was significant difference( P <0.05) of ACD (anterior chamber distance),TIA500 (trabecular-iris angle at 500μm from the scleral spur), AOD500 (angle- opening distance at 500μm from the scleral spur) and AOD250 (angle-opening distance at 250μm from the scleral spur) , TCPD ( trabecular-ciliary processes distance ), CPSA(ciliary-scleral angle) among 1st、2nd、3rd month pre-operation and post-operation .And they were all increased significantly after the operation.
2. There was no significant difference (P>0.05) of above -mentioned measurements among the 1st、2nd、3rd month after surgery.
3.The intraocular pressure of post-operation was lower than pre-operation and there was significant difference( P <0.05) between them. But there was no significant difference (P > 0.05) among the each time points post-operation.
4. The postoperative visual acuity was significantly better than preoperative visual acuity( P< 0.05).All intraocular lenses were implanted in the bag and shown the well symmetrical in posterior chamber. Serious ocular complications were not discovered after surgery.
Conclusions:
1. The anterior chamber angle was widened and the anterior chamber distance was deepened significantly after the operation of phacoemulsification and foldable IOL implantation. The measurements kept stable on 1st month after surgery.
2. The intraocular pressure was also reduced to some extent after this surgery.
引文
[1]Pavlin CJ,et al.Ophthalmology 1990 97:244
[2]Palvlin CJ,et al.Ophthamology 1991 98:287
[3]刘磊,杨文利,魏文斌等.眼超声生物显微镜诊断学.北京科学技术出版社,2002,80.
[4]Pavlin CJ,Sherar MD,Foster FS.Subsurface ultrasound microscopic imaging of the intact eye.Ophthalmology,1990,97:244-250.
[5]Pavlin CJ,Harasiewicz K,Foster FS.Ultrasound biomicroscopy of anterior segment structures in normal and glaucoma eyes.Am J Ophthalmol.1992,113:381-389.
[6]石晶明,蒋幼芹等。非接触眼压计测量的评价—与Goldmann眼压计的比较.中国实用眼科杂志,2002,20:370-372.
[7]陈伟蓉等.超声生物显微镜在晶体病和人工晶体植入术的应用.中国实用眼科杂志,2000,18:322-324
[8]Jensen PK,et al.Acta Ophthalmology Scandinavica 1995 73:98
[9]Pavlin CJ,Foster FS.Ultrasound biomicroscopy of the eye.Springer Verlag,New York,1995
[10]郭晓萍,高岩,陈刚等.超声生物显微镜量化观察超声乳化白内障吸除人工晶状体植入术后前房角的改变.中华眼科杂志,2004,40:94-95.
[11]Mishima HK,Shoge K,Takamatsu M,etal.Ultrasound biomicroscopic study of ciliary body thicaness after topical applicatioan of phamacologic agents.Am.J.Ophthalmol,1996,121:319-321.
[12]Landan IM,Laurell CG.etal.Ultrasound biomicroscopy examination of intraocular lens haptic position after phacoemulsification with continuous curvilinear capsulorhexis and extracapsular cataract extraction with linear capsulotomy.Acta Ophthamol Scan,1999,77(4):394-396.
[13]韩霞,叶剑等.蓝光滤过型AcrysofNatural人工晶体植入术后的临床观察.中国实用眼科杂志,2005,23:962-964.
[14]王宁利,欧阳洁,周文炳。中国人闭角型青光眼房角关闭机制的研究.中华眼科杂志,2000,36:46-51。
[15]宋维贤,杨文利等.应用超声生物显微镜对植入人工晶体位置观察分析.眼科,1999,1:17-19.
[16]杨晖,林振德,陈秀琦等。年龄对睫状体位置高度影响的初步研究.中 国实用眼科杂志,2000,18:697.
[17]王涛,李志辉.应用超声生物显微镜探讨原发性闭角型青光眼的发病机制.中华眼科杂志,1999,34:365-368.
[18]Issa SA,Pacheco J,Mahamod U.A novel index for predicting intraocular pressure reduction following cataract surgery.Br J Ophthalmol,2005,89:543-546
[19]张先平,亢晓丽.青光眼白内障联合术后超声生物显微镜下房角结构的观察.中国中医眼科杂志 2006,16(2);68-70
[20]朱思泉,王宁利等.白内障超声乳化摘除联合房角粘连分离术治疗青光眼合并白内障的临床研究.首都医科大学学报,2005,26
[1]Pavlin C J,Harasiewicz K,Sherar M D.Etal.Clinical use of ultrasound biomicroscopy.Opthalmology,1991,98:287-295.
[2]黄东生,杨文利等.应用超声生物显微镜对角膜疾病的诊断分析.北京医学,1999,21:199-202.
[3]Zhang M,Chen J,etal.Ultrasound biomicroscopy of Chinese eyes with iridocomeal endothelial syndrome.Br.J Ophthamol,20006,Jan.90(1)64-9.
[4]杨文利等.超声生物显微镜在眼科的应用.国外医学眼科分册,1996,20(3):170.
[5]陈伟蓉等.应用超声生物显微镜观察后房型人工晶状体植入术后的房角改变.中华眼科杂志,2000,34:330-331.
[6]Macken P1,et al.Aust2N 2Z2J 2 Ophthalmol,1995 Aug:23:217.
[7]Landan IM,Laurell CG.etal.Ultrasound biomicroscopy examination of intraocular lens haptic position after phacoemulsification with continuous curvilinear capsulorhexis and extracapsular cataract extraction with linear capsulotomy.Acta Ophthamol Scan,1999,77(4):394-396.
[8]Loya N,Lichter H,Barash D,et al.Posterior chamber intraocular lens implantation after capsulartear:Ultrasound biomicroscopy evaluation.J Cataract Refract Surg,2001,27(9):1423-14 27.
[9]Amino K,Yamakawa R.Long-term results of out-of-the-bag intraocular lens implantation.J Cataract Refract Surg,2000,26(2):266-270.
[10]郭晓萍,高岩,陈刚等.超声生物显微镜量化观察超声乳化白内障吸除人工晶体植入术后前房角的改变.中华眼科杂志,2004,40:94-95.
[11]刘奕志,刘玉华,吴明星.超声生物显微镜在晶状体半脱位诊治中的应用.中华眼科杂志,2004,40:188.
[12]Manabe S,Oh H,Amino K,etal.Ophthalmology,2000,107:2172-8.
[13]Pop M,PayetteY,Mansour M.J Cataract Refract Surg,2001,27:1033-8.
[14]Rcia-Feijoo J,Hernandez-Matamoros JC,Mendea-Hernandez C.Ultrasound biomicroscopy of silicone posterior chamber phankic intraocular lens for myopia.J Cataract Refract Surg,2003,29(10):1932-1939.
[15]Marchini G,Pedrotti E,etal.Ultrasound biomicroscopic changes during accommodation in eye s with accommodating intraocular lenses:pilot study and hypothesis for the mechanism of accommodation.J cataract Refract Surg,2004,Dec.30(12)2476-82.
[16]Pavlin CA,HarasiewiczK,Foster FS.J cataract Refract Surg,1994
[17]NishijimaK,TakahashiK,YamakawaR.Am.J.Ophthalmol,2000,130:483-9.
[18]张先平,亢晓丽.青光眼白内障联合术后超声生物显微镜下房角结构的观察.中国中医眼科杂志 2006,16(2);68-70
[19]Nonaka A,Kondo T,Kikuchi M,etal.Cataract surgery for residual angle closure after peripheral laser iridotomy.Ophthalmology,2005,112:974-979.
[20]Tran HV,Liebmann JM,Ritch R.Iridociliary apposition in plateau iris syndrom persists after cataract extraction.Am.J.Ophthalmol,2003,135:40-43.
[21]葛坚,郭彦,刘亦志,等.超声乳化白内障吸除术治疗闭角型青光眼的初步临床观察.中华眼科杂志,2001,37:355-358.
[22]马嘉,陈晓明.人眼睫状体在调节中形态与位置的动态变化.中华眼科杂志,2004,40(9):590-596.
[23]杨文利,刘磊,朱晓青,等.应用超声生物显微镜检查及诊断眼部睫状体脱离.中华眼科杂志,1999,35(3):194-196.
[24]王宁利,刘文,主编.活体超声显微镜眼科学.北京:科学出版社,2002.247.
[25]王宁利,赖铭莹,陈秀琦.超声生物显微镜暗室激发试验.中华眼科杂志,1998,34:183-186
[26]王宁利,欧阳洁,周文炳.中国人闭角型青光眼房角关闭机制的研究.中华眼科杂志,2000,36:46-51.
[27]Pavlin CA,Foster FS.plateau iris syndrom.:changes in angle opening associated with dark,light,and pilocarpine administeation.Am.J.Ophthalmol,1999,128:288-291.
[28]Mishima HK,Shoge K,Takamatsu M,etal.Ultrasound biomicroscopic study of ciliary body thicaness after topical applicatioan of phamacologic agents.Am.J.Ophthalmol,1996,121:319-321.
[29]王涛,李志辉.应用超声生物显微镜探讨原发性闭角型青光眼的发病机制.中华眼科杂志,1999,34:365-368.
[30]刘磊,王涛,李志辉.睫状环阻滞性青光眼的超声生物显微镜检查.中华眼科杂志,1998,34:178-182.
[31]朱晓青,李志辉,林丁.应用超声生物显微镜检测原发型婴幼儿性青光眼的眼前节形态特征.中华眼科杂志,1999,35:300-304.
[32]Caronia RM,Liebmann JM,Stegman Z,etal.Increase in iris-lens contact after laser iridotomy for pipillary block angle closuer.Am.J.Ophthalmol-,1996,122:53-57.
[33]Polikoff LA,Chanis RA,Toor A,etal.The effect of laser iridotomy on the antirior segment anatomy of pations with plateau iris cogfiguration.J Glaucoma,2005,14109-14113.
[34]Gazzard G,Friedma DS,Devereux JG,etal.A prospective Ultrasound biomicroscopic evaluation of changes in anterior segmengtmorphology after laser iridotomy in Asian eyes.Ophthalmology,2002,110:630-638.
[35]刘坤,许迅,曹美凤.抗青光眼手术失败病例的超声生物显微镜观察.中国实用眼科杂志,2004,22:144-146.
[36]Grigera D,More no C,Fava O,et al.Ultrasound biomicroscopy in eyes with anterior chamber flattening after trabeculectomy.Can J Ophthalmol,2002,37(1):27-32.
[37]Sugimoto K,Ito K,Esaki K.Supraciliochoroidal fluid at an early stage after trabeculectomy.Jpn J Ophthalmol,2002,46(5):548-552.
[38]孙静芬,叶纹,王喜健.非穿透小梁手术后的超声生物显微镜检查.中国实用眼科杂志,2003,21:604-605.
[39]张欣,于强,陈秀琦.视网膜光凝术后的睫状体和脉络膜改变.中国实用眼科杂志,1999,17:488-490.
[40]Hating G,Nille B,Wiechens B.Ultrasound biomicroscopic imaging in intermediate uveitis.Br J Nphthalmol,1998,82:625-629.
[41]刘文,吴启崇,黄素英.前段增殖性玻璃体视网膜病变的超声生物显微镜检查.中华眼科杂志,1998,34:265.
[42]张国明,吴德正,高汝龙.应用超声生物显微镜对巩膜扣带术后眼前节结构改变的远期观察.中国实用眼科杂志,2001,19:210.
[43]Grigera DE,Zambrano A,Ultrasound biomicroscopy in silicone oil-filled eyes.Retina,20 00,20(5):524-531.
[44]Hotta K,Hirakata A,Ultrasound biomicroscopy for examination of the sclerotomy site in eyes with proliferative diabetic retinopathy after vitrectomy.Retina,2000,20(1):52-58.
[45]吴中耀,王宁利,杨华胜.超声生物显微镜在眼球前段肿瘤检查中应用的初步报告,眼科学报,1997,13:189-191.
[46]Weisbrod DJ,Pavlin CJ,etal.Small ciliary body tumors:ultrasound biomicroscopic assessment and follow-up of 42 patients.Am.J.Ophthalmol,2006,Apr;141(4)622-8.
[47]BarashD,Goldenberg-CohenN,TzadokD,etal.Am.J.Ophthalmol,1998,126:197-202.
[48]何雷,庞秀琴,杨文利.超声生物显微镜诊断眼前节微小异物.眼科,1998,7:146-149.
[49]IkedaN,IkedaT,NagataM,etal.Ophthalmology,2002,109:501-7.
[50]Ozdal MP,Mansour M,Deshens J.Ultrasound biomicroscopy evaluation of the transmatized eyes.Eye,2003 17(4):467-472.
[2]Palvlin CJ,et al.Ophthamology 1991 98:287
[3]刘磊,杨文利,魏文斌等.眼超声生物显微镜诊断学.北京科学技术出版社,2002,80.
[4]Pavlin CJ,Sherar MD,Foster FS.Subsurface ultrasound microscopic imaging of the intact eye.Ophthalmology,1990,97:244-250.
[5]Pavlin CJ,Harasiewicz K,Foster FS.Ultrasound biomicroscopy of anterior segment structures in normal and glaucoma eyes.Am J Ophthalmol.1992,113:381-389.
[6]石晶明,蒋幼芹等。非接触眼压计测量的评价—与Goldmann眼压计的比较.中国实用眼科杂志,2002,20:370-372.
[7]陈伟蓉等.超声生物显微镜在晶体病和人工晶体植入术的应用.中国实用眼科杂志,2000,18:322-324
[8]Jensen PK,et al.Acta Ophthalmology Scandinavica 1995 73:98
[9]Pavlin CJ,Foster FS.Ultrasound biomicroscopy of the eye.Springer Verlag,New York,1995
[10]郭晓萍,高岩,陈刚等.超声生物显微镜量化观察超声乳化白内障吸除人工晶状体植入术后前房角的改变.中华眼科杂志,2004,40:94-95.
[11]Mishima HK,Shoge K,Takamatsu M,etal.Ultrasound biomicroscopic study of ciliary body thicaness after topical applicatioan of phamacologic agents.Am.J.Ophthalmol,1996,121:319-321.
[12]Landan IM,Laurell CG.etal.Ultrasound biomicroscopy examination of intraocular lens haptic position after phacoemulsification with continuous curvilinear capsulorhexis and extracapsular cataract extraction with linear capsulotomy.Acta Ophthamol Scan,1999,77(4):394-396.
[13]韩霞,叶剑等.蓝光滤过型AcrysofNatural人工晶体植入术后的临床观察.中国实用眼科杂志,2005,23:962-964.
[14]王宁利,欧阳洁,周文炳。中国人闭角型青光眼房角关闭机制的研究.中华眼科杂志,2000,36:46-51。
[15]宋维贤,杨文利等.应用超声生物显微镜对植入人工晶体位置观察分析.眼科,1999,1:17-19.
[16]杨晖,林振德,陈秀琦等。年龄对睫状体位置高度影响的初步研究.中 国实用眼科杂志,2000,18:697.
[17]王涛,李志辉.应用超声生物显微镜探讨原发性闭角型青光眼的发病机制.中华眼科杂志,1999,34:365-368.
[18]Issa SA,Pacheco J,Mahamod U.A novel index for predicting intraocular pressure reduction following cataract surgery.Br J Ophthalmol,2005,89:543-546
[19]张先平,亢晓丽.青光眼白内障联合术后超声生物显微镜下房角结构的观察.中国中医眼科杂志 2006,16(2);68-70
[20]朱思泉,王宁利等.白内障超声乳化摘除联合房角粘连分离术治疗青光眼合并白内障的临床研究.首都医科大学学报,2005,26
[1]Pavlin C J,Harasiewicz K,Sherar M D.Etal.Clinical use of ultrasound biomicroscopy.Opthalmology,1991,98:287-295.
[2]黄东生,杨文利等.应用超声生物显微镜对角膜疾病的诊断分析.北京医学,1999,21:199-202.
[3]Zhang M,Chen J,etal.Ultrasound biomicroscopy of Chinese eyes with iridocomeal endothelial syndrome.Br.J Ophthamol,20006,Jan.90(1)64-9.
[4]杨文利等.超声生物显微镜在眼科的应用.国外医学眼科分册,1996,20(3):170.
[5]陈伟蓉等.应用超声生物显微镜观察后房型人工晶状体植入术后的房角改变.中华眼科杂志,2000,34:330-331.
[6]Macken P1,et al.Aust2N 2Z2J 2 Ophthalmol,1995 Aug:23:217.
[7]Landan IM,Laurell CG.etal.Ultrasound biomicroscopy examination of intraocular lens haptic position after phacoemulsification with continuous curvilinear capsulorhexis and extracapsular cataract extraction with linear capsulotomy.Acta Ophthamol Scan,1999,77(4):394-396.
[8]Loya N,Lichter H,Barash D,et al.Posterior chamber intraocular lens implantation after capsulartear:Ultrasound biomicroscopy evaluation.J Cataract Refract Surg,2001,27(9):1423-14 27.
[9]Amino K,Yamakawa R.Long-term results of out-of-the-bag intraocular lens implantation.J Cataract Refract Surg,2000,26(2):266-270.
[10]郭晓萍,高岩,陈刚等.超声生物显微镜量化观察超声乳化白内障吸除人工晶体植入术后前房角的改变.中华眼科杂志,2004,40:94-95.
[11]刘奕志,刘玉华,吴明星.超声生物显微镜在晶状体半脱位诊治中的应用.中华眼科杂志,2004,40:188.
[12]Manabe S,Oh H,Amino K,etal.Ophthalmology,2000,107:2172-8.
[13]Pop M,PayetteY,Mansour M.J Cataract Refract Surg,2001,27:1033-8.
[14]Rcia-Feijoo J,Hernandez-Matamoros JC,Mendea-Hernandez C.Ultrasound biomicroscopy of silicone posterior chamber phankic intraocular lens for myopia.J Cataract Refract Surg,2003,29(10):1932-1939.
[15]Marchini G,Pedrotti E,etal.Ultrasound biomicroscopic changes during accommodation in eye s with accommodating intraocular lenses:pilot study and hypothesis for the mechanism of accommodation.J cataract Refract Surg,2004,Dec.30(12)2476-82.
[16]Pavlin CA,HarasiewiczK,Foster FS.J cataract Refract Surg,1994
[17]NishijimaK,TakahashiK,YamakawaR.Am.J.Ophthalmol,2000,130:483-9.
[18]张先平,亢晓丽.青光眼白内障联合术后超声生物显微镜下房角结构的观察.中国中医眼科杂志 2006,16(2);68-70
[19]Nonaka A,Kondo T,Kikuchi M,etal.Cataract surgery for residual angle closure after peripheral laser iridotomy.Ophthalmology,2005,112:974-979.
[20]Tran HV,Liebmann JM,Ritch R.Iridociliary apposition in plateau iris syndrom persists after cataract extraction.Am.J.Ophthalmol,2003,135:40-43.
[21]葛坚,郭彦,刘亦志,等.超声乳化白内障吸除术治疗闭角型青光眼的初步临床观察.中华眼科杂志,2001,37:355-358.
[22]马嘉,陈晓明.人眼睫状体在调节中形态与位置的动态变化.中华眼科杂志,2004,40(9):590-596.
[23]杨文利,刘磊,朱晓青,等.应用超声生物显微镜检查及诊断眼部睫状体脱离.中华眼科杂志,1999,35(3):194-196.
[24]王宁利,刘文,主编.活体超声显微镜眼科学.北京:科学出版社,2002.247.
[25]王宁利,赖铭莹,陈秀琦.超声生物显微镜暗室激发试验.中华眼科杂志,1998,34:183-186
[26]王宁利,欧阳洁,周文炳.中国人闭角型青光眼房角关闭机制的研究.中华眼科杂志,2000,36:46-51.
[27]Pavlin CA,Foster FS.plateau iris syndrom.:changes in angle opening associated with dark,light,and pilocarpine administeation.Am.J.Ophthalmol,1999,128:288-291.
[28]Mishima HK,Shoge K,Takamatsu M,etal.Ultrasound biomicroscopic study of ciliary body thicaness after topical applicatioan of phamacologic agents.Am.J.Ophthalmol,1996,121:319-321.
[29]王涛,李志辉.应用超声生物显微镜探讨原发性闭角型青光眼的发病机制.中华眼科杂志,1999,34:365-368.
[30]刘磊,王涛,李志辉.睫状环阻滞性青光眼的超声生物显微镜检查.中华眼科杂志,1998,34:178-182.
[31]朱晓青,李志辉,林丁.应用超声生物显微镜检测原发型婴幼儿性青光眼的眼前节形态特征.中华眼科杂志,1999,35:300-304.
[32]Caronia RM,Liebmann JM,Stegman Z,etal.Increase in iris-lens contact after laser iridotomy for pipillary block angle closuer.Am.J.Ophthalmol-,1996,122:53-57.
[33]Polikoff LA,Chanis RA,Toor A,etal.The effect of laser iridotomy on the antirior segment anatomy of pations with plateau iris cogfiguration.J Glaucoma,2005,14109-14113.
[34]Gazzard G,Friedma DS,Devereux JG,etal.A prospective Ultrasound biomicroscopic evaluation of changes in anterior segmengtmorphology after laser iridotomy in Asian eyes.Ophthalmology,2002,110:630-638.
[35]刘坤,许迅,曹美凤.抗青光眼手术失败病例的超声生物显微镜观察.中国实用眼科杂志,2004,22:144-146.
[36]Grigera D,More no C,Fava O,et al.Ultrasound biomicroscopy in eyes with anterior chamber flattening after trabeculectomy.Can J Ophthalmol,2002,37(1):27-32.
[37]Sugimoto K,Ito K,Esaki K.Supraciliochoroidal fluid at an early stage after trabeculectomy.Jpn J Ophthalmol,2002,46(5):548-552.
[38]孙静芬,叶纹,王喜健.非穿透小梁手术后的超声生物显微镜检查.中国实用眼科杂志,2003,21:604-605.
[39]张欣,于强,陈秀琦.视网膜光凝术后的睫状体和脉络膜改变.中国实用眼科杂志,1999,17:488-490.
[40]Hating G,Nille B,Wiechens B.Ultrasound biomicroscopic imaging in intermediate uveitis.Br J Nphthalmol,1998,82:625-629.
[41]刘文,吴启崇,黄素英.前段增殖性玻璃体视网膜病变的超声生物显微镜检查.中华眼科杂志,1998,34:265.
[42]张国明,吴德正,高汝龙.应用超声生物显微镜对巩膜扣带术后眼前节结构改变的远期观察.中国实用眼科杂志,2001,19:210.
[43]Grigera DE,Zambrano A,Ultrasound biomicroscopy in silicone oil-filled eyes.Retina,20 00,20(5):524-531.
[44]Hotta K,Hirakata A,Ultrasound biomicroscopy for examination of the sclerotomy site in eyes with proliferative diabetic retinopathy after vitrectomy.Retina,2000,20(1):52-58.
[45]吴中耀,王宁利,杨华胜.超声生物显微镜在眼球前段肿瘤检查中应用的初步报告,眼科学报,1997,13:189-191.
[46]Weisbrod DJ,Pavlin CJ,etal.Small ciliary body tumors:ultrasound biomicroscopic assessment and follow-up of 42 patients.Am.J.Ophthalmol,2006,Apr;141(4)622-8.
[47]BarashD,Goldenberg-CohenN,TzadokD,etal.Am.J.Ophthalmol,1998,126:197-202.
[48]何雷,庞秀琴,杨文利.超声生物显微镜诊断眼前节微小异物.眼科,1998,7:146-149.
[49]IkedaN,IkedaT,NagataM,etal.Ophthalmology,2002,109:501-7.
[50]Ozdal MP,Mansour M,Deshens J.Ultrasound biomicroscopy evaluation of the transmatized eyes.Eye,2003 17(4):467-472.