AIM:To report the progression rate(PR)to primary angle closure(PAC)following laser peripheral iridotomy(LPI)in PAC suspects(PACS).METHODS:Prospective,randomized controlled interventional clinical trial conducted at th...AIM:To report the progression rate(PR)to primary angle closure(PAC)following laser peripheral iridotomy(LPI)in PAC suspects(PACS).METHODS:Prospective,randomized controlled interventional clinical trial conducted at the Handan Eye Hospital,China.Totally 134 bilateral PACS,defined as non-visibility of the posterior trabecular meshwork for≥180 degrees on gonioscopy were randomly assigned to undergo LPI in one eye.Gonioscopy and Goldmann applanation tonometry were performed prior to,on day 7 and 12 mo post LPI.RESULTS:Eighty of 134 patients(59.7%)could be followed up at one year.The mean intraocular pressure(IOP)in treated eyes was 15.9±2.6 mm Hg at baseline,15.4±3.0 mm Hg on day 7;16.5±2.9 mm Hg at one month,and 15.5±2.9 mm Hg at 12 mo;the IOP in untreated eyes was similar(P=0.834).One or more quadrants of the angle opened in 93.7%of the LPI treated eyes,but 67.0%(53/79)remained closed in two or more quadrants.The PR to PAC in untreated eyes was 3.75%and one developed acute angleclosure glaucoma(AACG);the PR to PAC in treated eyes was 2.5%and none had developed peripheral anterior synechia(PAS)or AACG.CONCLUSION:LPI can open some of the occludable angle in the majority of eyes with PACS,but 67%continue to have non-visibility of the trabecular meshwork for over 180 degrees.展开更多
AIM:To assess the refractive status,anterior chamber depth(ACD) and axial length(AL) of patients with primary angle-closure disease(PACD).METHODS: Retrospective cohort. Data was collected from charts of all PACD patie...AIM:To assess the refractive status,anterior chamber depth(ACD) and axial length(AL) of patients with primary angle-closure disease(PACD).METHODS: Retrospective cohort. Data was collected from charts of all PACD patients treated from April 2013 to December 2015. Analysis was done on 137 patient charts with complete biometric data. Patient demographics,PACD type,refractive status(spherical equivalent),ACD and AL were studied.RESULTS: The median age of 137 subjects [53 with primary angle-closure suspects(PACS),27 with primary angleclosure(PAC) and 57 with primary angle-closure glaucoma(PACG)] was 68y(range 21-88y). The majority was Chinese(n=68;49.6%) and most of them were women(n=75;54.7%). The distribution of myopia(n=51; 37.2%) and hyperopia(n=49;35.8%) was similar. The ACD was shallower in myopes compared to hyperopes(P=0.02) and emmetropia(P=0.049) but the AL was not significantly different between groups. There were no patients blind from PACG.CONCLUSION: Both myopia and hyperopia can occur in PACD. Despite a shallower ACD in angle closure myopes,the AL was not different between groups.展开更多
基金Supported in part by the Ministry of Science and Technology of the National“Eleventh Five-Year”Science and Technology Program in China(No.2007BAI18B08)Beijijng Municipal Science and Technology Commission,Capital Characteristic Clinic Project(No.Z171100001017040)。
文摘AIM:To report the progression rate(PR)to primary angle closure(PAC)following laser peripheral iridotomy(LPI)in PAC suspects(PACS).METHODS:Prospective,randomized controlled interventional clinical trial conducted at the Handan Eye Hospital,China.Totally 134 bilateral PACS,defined as non-visibility of the posterior trabecular meshwork for≥180 degrees on gonioscopy were randomly assigned to undergo LPI in one eye.Gonioscopy and Goldmann applanation tonometry were performed prior to,on day 7 and 12 mo post LPI.RESULTS:Eighty of 134 patients(59.7%)could be followed up at one year.The mean intraocular pressure(IOP)in treated eyes was 15.9±2.6 mm Hg at baseline,15.4±3.0 mm Hg on day 7;16.5±2.9 mm Hg at one month,and 15.5±2.9 mm Hg at 12 mo;the IOP in untreated eyes was similar(P=0.834).One or more quadrants of the angle opened in 93.7%of the LPI treated eyes,but 67.0%(53/79)remained closed in two or more quadrants.The PR to PAC in untreated eyes was 3.75%and one developed acute angleclosure glaucoma(AACG);the PR to PAC in treated eyes was 2.5%and none had developed peripheral anterior synechia(PAS)or AACG.CONCLUSION:LPI can open some of the occludable angle in the majority of eyes with PACS,but 67%continue to have non-visibility of the trabecular meshwork for over 180 degrees.
文摘AIM:To assess the refractive status,anterior chamber depth(ACD) and axial length(AL) of patients with primary angle-closure disease(PACD).METHODS: Retrospective cohort. Data was collected from charts of all PACD patients treated from April 2013 to December 2015. Analysis was done on 137 patient charts with complete biometric data. Patient demographics,PACD type,refractive status(spherical equivalent),ACD and AL were studied.RESULTS: The median age of 137 subjects [53 with primary angle-closure suspects(PACS),27 with primary angleclosure(PAC) and 57 with primary angle-closure glaucoma(PACG)] was 68y(range 21-88y). The majority was Chinese(n=68;49.6%) and most of them were women(n=75;54.7%). The distribution of myopia(n=51; 37.2%) and hyperopia(n=49;35.8%) was similar. The ACD was shallower in myopes compared to hyperopes(P=0.02) and emmetropia(P=0.049) but the AL was not significantly different between groups. There were no patients blind from PACG.CONCLUSION: Both myopia and hyperopia can occur in PACD. Despite a shallower ACD in angle closure myopes,the AL was not different between groups.
