微钩小梁切开术抑制眼压过高症患者 24 小时眼压波动:病例报告。

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Yutaro Tobita, Naka Shiratori, Yusuke Nishio, Kenji Nakamoto, Fumiki Okamoto
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引用次数: 0

摘要

一名 76 岁的妇女因眼压(IOP)明显升高(双眼眼压均≥40 mmHg)转诊至我院。眼科检查未发现眼内炎症、假性角膜剥脱或青光眼性视神经病变。用戈德曼眼压计在坐位 8、12、16、20 和 24 点测量的 24 小时眼压波动分别为 22/17、33/28、41/33、30/22 和 30/24 mmHg,并在下午达到峰值。患者被诊断为眼压过高,并接受了微钩小梁切开术(μLOT)(右眼晶状体重建,左眼最初为假性角膜)。双眼接受μLOT手术后(右眼术后4天,左眼术后1天),双眼的眼压分别降至12/15、11/14、12/15、10/11和10/10毫米汞柱,波动范围也得到了抑制。术后 3 个月时(在 8、12、16、20、24 和 4 点钟位置测量),效果分别维持在 14/15、15/19、14/19、11/12、13/14 和 13/13 mmHg,但略有减弱。在一名 24 小时眼压波动明显的患者身上,μLOT 能有效降低眼压值和波动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
24-Hour Intraocular Pressure Fluctuation Suppressed by Microhook Trabeculotomy in Ocular Hypertension: A Case Report.

A 76-year-old woman was referred to our hospital for evaluation of markedly high intraocular pressures (IOPs): ≥40 mmHg in both eyes. No intraocular inflammation, pseudoexfoliation, or glaucomatous optic neuropathy was observed on ophthalmological examination. The 24-hour IOP fluctuations, measured with a Goldmann tonometer in the sitting position at 8, 12, 16, 20, and 24 o' clock, were 22/17, 33/28, 41/33, 30/22, and 30/24 mmHg, respectively, and showed a peak in the afternoon. The patient was diagnosed with ocular hypertension, and microhook trabeculotomy (μLOT) (right eye with lens reconstruction, left eye initially pseudophakic) was performed. After μLOT surgery in both eyes (4 days postoperatively in the right eye and 1 day postoperatively in the left eye), IOP decreased in both eyes to 12/15, 11/14, 12/15, 10/11, and 10/10 mmHg, and the fluctuation range was suppressed. At 3 months postoperatively (measured at 8, 12, 16, 20, 24, and 4 o' clock), the effect was maintained at 14/15, 15/19, 14/19, 11/12, 13/14, and 13/13 mmHg, respectively, but was slightly attenuated. In a patient with marked 24-hour IOP fluctuation, μLOT was effective in reducing IOP values and fluctuation.

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来源期刊
Journal of Nippon Medical School
Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-
CiteScore
1.80
自引率
10.00%
发文量
118
期刊介绍: The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.
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