小梁切除术对青光眼患者眼部生物学参数的影响
The Influence of Trabeculectomy on Biological Parameters of Glaucoma
DOI: 10.12677/HJO.2018.74029, PDF,   
作者: 李洪垒：青岛大学附属医院眼科，山东 青岛
关键词: 小梁切除术；前房深度；角膜曲率；Trabeculectomy； Anterior Chamber Depth； Keratometry Intraocular Lens
摘要: 目的：总结有关小梁切除术后眼部生物学参数变化的证据，为青光眼联合白内障手术或抗青光眼术后再行白内障手术前人工晶体度数的选择提供临床指导。结论：小梁切除术可导致眼轴长度(AL)，前房深度(ACD)，晶状体厚度，脉络膜厚度和角膜曲率的短期波动和长期变化。AL，ACD和角膜曲率测量的变化对于影响白内障手术后屈光结果的预测具有重要意义。为了获得最佳屈光状态，建议延迟白内障手术，直到AL，ACD和角膜曲率在手术后约6个月达到稳定状态。
Abstract: Purpose: To summarize the evidences of the changes of ocular biological parameters after tra-beculectomy, and to provide clinical guidance for the selection of intraocular lens power before combined glaucoma cataract surgery or anti-glaucoma surgery. Conclusion: With the decrease of intraocular pressure after trabeculectomy, axial length (AL) and anterior chamber depth (ACD) decrease, while lens thickness, choroidal thickness and with-the-rule astigmatism usually increase. These changes in biological parameters may affect the calculation of intraocular lens power. In order to obtain the best refractive state, it is recommended that cataract surgery be delayed until AL, ACD and corneal curvature reach a stable state about 6 months after surgery.
文章引用：李洪垒. 小梁切除术对青光眼患者眼部生物学参数的影响[J]. 眼科学, 2018, 7(4): 181-185. https://doi.org/10.12677/HJO.2018.74029

参考文献

[1] Tham, Y.C., Li, X., Wong, T.Y., et al. (2014) Global Prevalence of Glaucoma and Projections of Glaucoma Burden through 2040: A Systematic Review and Meta Analysis. Ophthalmology, 121, 2081-2090.
[Google Scholar] [CrossRef] [PubMed]
[2] Quigley, H.A. and Broman, A.T. (2006) The Number of People with Glau-coma Worldwide in 2010 and 2020. British Journal of Ophthalmology. 90, 262-267.
[Google Scholar] [CrossRef] [PubMed]
[3] Kook, M.S., Kim, H.B. and Lee, S.U. (2001) Short-term Effect of Mitomycin-C Augmented Trabeculectomy on Axial Length and Corneal Astigmatism. Journal of Cataract & Refractive Surgery; 27, 518-523.
[Google Scholar] [CrossRef] 
[4] Rosen, W.J., Mannis, M.J. and Brandt, J.D. (1992) The Effect of Tra-beculectomy on Corneal Topography. Ophthalmic Surgery; 23, 395-398.
[5] Dietze, P.J., Oram, O., Kohnen, T., et al. (1997) Visual Function Following Trabeculectomy: Effect on Corneal Topography and Contrast Sensitivity. Journal of Glaucoma, 6, 99-103.
[Google Scholar] [CrossRef] 
[6] Vernon, S.A., Zambarakji, H.J., Potgieter, F., et al. (1999) Topo-graphic and Keratometric Astigmatism up to 1 Year Following small Flap Trabeculectomy (Microtrabeculectomy). British Journal of Ophthalmology, 83, 779-782.
[Google Scholar] [CrossRef] [PubMed]
[7] Egrilmez, S., Ates, H., Nalcaci, S., et al. (2004) Surgically Induced Corneal Refractive Change Following Glaucoma Surgery: Nonpenetrating Trabecular Surgeries versus Trabeculectomy. Journal of Cataract & Refractive Surgery; 30, 1232-1239.
[Google Scholar] [CrossRef] [PubMed]
[8] Hugkulstone, C.E. (1991) Changes in Keratometry Following Trabeculectomy. British Journal of Ophthalmology, 75, 217-218.
[Google Scholar] [CrossRef] [PubMed]
[9] Claridge, K.G., Galbraith, J.K., Karmel, V., et al. (1995) The Effect of Trabeculectomy on Refraction, Keratometry and Corneal Topography. Eye (London), 9, 292-298.
[Google Scholar] [CrossRef] [PubMed]
[10] Cunliffe, I.A., Dapling, R.B., West, J., et al. (1992) A Prospective Study Examining the Changes in Factors That Affect Visual Acuity Following Trabeculectomy. Eye (London), 6, 618-622.
[Google Scholar] [CrossRef] [PubMed]
[11] Cashwell, L.F. and Martin, C.A. (1999) Axial Length Decrease Accompanying Successful Glaucoma Filtration Surgery. Ophthalmology, 106, 2307-2311.
[Google Scholar] [CrossRef] 
[12] Hong, Y.J., Choe, C.M., Lee, Y.G., et al. (1998) The Effect of Mitomy-cin-C on Postoperative Corneal Astigmatismin Trabeculectomy and a Triple Procedure. Ophthalmic Surgery and Lasers, 29, 484-489.
[13] Delbeke, H., Stalmans, I., Vandewalle, E., et al. (2015) The Effect of Trabeculectomy on Astigmatism. Journal of Glaucoma, 25, 308-312.
[Google Scholar] [CrossRef] 
[14] Kao, S.F., Lichter, P.R. and Musch, D.C. (1989) Anterior Chamber Depth Following Filtration Surgery. Ophthalmic Surgery, 20, 332-336.
[15] Goins, K., Smith, T., Kinker, R., et al. (1990) Axial Anterior Chamber Depth after Trabeculectomy. Ophthalmologica, 200, 177-180.
[Google Scholar] [CrossRef] [PubMed]
[16] Husain, R., Li, W., Gazzard, G., et al. (2013) Longitudinal Changes in Anterior Chamber Depth and Axial Length in Asian Subjects after Trabeculectomy Surgery. British Journal of Ophthalmology, 97, 852-856.
[Google Scholar] [CrossRef] [PubMed]
[17] Martinez-Bello, C., Rodriguez-Ares, T., Pazos, B., et al. (2000) Changes in Anterior Chamber Depth and Angle Width after Filtration Surgery: A Quantitative Study Using Ultrasound Biomicroscopy. Journal of Glaucoma, 9, 51-55.
[Google Scholar] [CrossRef] [PubMed]
[18] Karasheva, G., Goebel, W., Klink, T., et al. (2003) Changes in Mac-ular Thickness and Depth of Anterior Chamber in Patients after Filtration Surgery. Graefe’s Archive for Clinical and Experimental Ophthalmology, 241, 170-175.
[Google Scholar] [CrossRef] [PubMed]
[19] Alvani, A., Pakravan, M., Esfandiari, H., et al. (2016) Biometric Changes after Trabeculectomy with Contact and Non-Contact Biometry. Optometry and Vision Science, 93, 136-140.
[Google Scholar] [CrossRef] 
[20] Lamping, K.A., Bellows, A.R., Hutchinson, B.T., et al. (1986) Long-Term Evaluation of Initial Filtration Surgery. Ophthalmology, 93, 91-101.
[Google Scholar] [CrossRef] 
[21] Razzak, A., Al Samarrai, A. and Sunba, M.S. (1991) Incidence of Post-trabeculectomy Cataract among Arabs in Kuwait. Ophthalmic Research, 23, 21-23.
[Google Scholar] [CrossRef] [PubMed]
[22] Popovic, V. and Sjöstrand, J. (1991) Long-Term Outcome Following Trabeculectomy: II Visual Field Survival. Acta Ophthalmologica, Copenhagen, 69, 305-309.
[Google Scholar] [CrossRef] [PubMed]
[23] Daugeliene, L., Yamamoto, T. and Kitazawa, Y. (2000) Cataract Development after Trabeculectomy with Mitomycin C: A 1-Year Study. Japanese Journal of Ophthalmology, 44, 52-57.
[Google Scholar] [CrossRef] 
[24] Kara, N., Baz, O., Altan, C., et al. (2013) Changes in Choroidal Thickness, Axial Length and Ocular Perfusion Pressure Accompanying Successful Glaucoma Filtration Surgery. Eye, 27, 940-945.
[Google Scholar] [CrossRef] [PubMed]
[25] Chen, S., Wang, W., Gao, X., et al. (2014) Changes in Choroidal Thickness after Trabeculectomy in Primary Angle Closure Glaucoma. Investigative Ophthalmology & Visual Science, 55, 2608-2613.
[Google Scholar] [CrossRef] [PubMed]
[26] Saeedi, O., Pillar, A., Jefferys, J., et al. (2014) Change in Choroidal Thickness and Axial Length with Change in Intraocular Pressure after Trabeculectomy. British Journal of Ophthalmology, 98, 976-979.
[Google Scholar] [CrossRef] [PubMed]
[27] Nemeth, J. and Horoczi, Z. (1992) Changes in the Ocular Dimensions after Trabeculectomy. International Ophthalmology, 16, 355-357.
[Google Scholar] [CrossRef] 
[28] Francis, B.A., Wang, M., Lei, H., et al. (2005) Changes in Axial Length Following Trabeculectomy and Glaucoma Drainage Device Surgery. British Journal of Ophthalmology, 89, 17-20.
[Google Scholar] [CrossRef] [PubMed]
[29] Pakravan, M., Alvani, A., Yazdani, S., et al. (2015) Intraocular Lens Power Changes after Mitomycin Trabeculectomy. European Journal of Ophthalmology, 25, 478-482.
[Google Scholar] [CrossRef] [PubMed]
[30] Shingleton, B., Tetz, M. and Korber, N. (2008) Circumferential Viscodilation and Tensioning of Schlemm Canal (canaloplasty) with Temporal Clear Corneal Phacoemulsification Cataract Surgery for Open Angle Glaucoma and Visually Significant Cataract: One-Year Results. Journal of Cataract & Refractive Surgery, 34, 433-440.
[Google Scholar] [CrossRef] [PubMed]
[31] Congdon, N., O’Colmain, B., Klaver, C.C., et al. (2004) Causes and Prevalence of Visual Impairment among Adults in the United States. Archives of Ophthalmology, 122, 477-485.
[Google Scholar] [CrossRef] [PubMed]
[32] Friedman, D.S., Wolfs, R.C., O’Colmain, B.J., et al. (2004) Prevalence of Open-Angle Glaucoma Among Adults in the United States. Archives of Ophthalmology, 122, 532-538.
[Google Scholar] [CrossRef] [PubMed]
[33] Swamynathan, K., Capistrano, A.P., Cantor, L.B., et al. (2004) Effect of Temporal Corneal Phacoemulsification Intraocular Pressure in Eyes with Prior Trabeculectomy with an Antimetabolite. Ophthalmology, 111, 674-678.
[Google Scholar] [CrossRef] [PubMed]
[34] Wang, X., Zhang, H., Li, S., et al. (2009) The Effects of Phacoemulsifica-tionon Intraocular Pressure and Ultrasound Biomicroscopic Image of Filtering Blebin Eyes with Cataract and Functioning Filtering Blebs. Eye, 23, 112-116.
[Google Scholar] [CrossRef] [PubMed]
[35] Tan, H.Y. and Wu, S.C. (2004) Refractive Error with Optimum Intraocular Lens Power Calculation after Glaucoma Filtering Surgery. Journal of Cataract & Refractive Surgery, 30, 2595-2597.
[Google Scholar] [CrossRef] [PubMed]
[36] Muallem, M.S., Nelson, G.A., Osmanovic, S., et al. (2009) Predicted Refraction versus Refraction Outcome in Cataract Surgery after Trabeculectomy. Journal of Glaucoma, 18, 284-287.
[Google Scholar] [CrossRef] 
[37] Zhang, N., Tsai, P.L., Catoira-Boyle, Y.P., et al. (2013) The Effect of Prior Trabeculectomy on Refractive Outcomes of Cataract Surgery. American Journal of Ophthalmology, 155, 858-863.
[Google Scholar] [CrossRef] [PubMed]
[38] Bae, H.W., Lee, Y.H., Kim do, W., et al. (2016) Effect of Trabeculectomy on the Accuracy of Intraocular Lens Calculations in Patients with Open-Angle Glaucoma. Clinical & Experimental Ophthalmology, 44, 465-471.
[39] Law, S.K. and Riddle, J. (2011) Management of Cataracts in Patients with Glaucoma. International Ophthalmology Clinics, 51, 1-18.
[Google Scholar] [CrossRef] 

为你推荐