|
7小结
ORA与传统的非接触式眼压计(NCT)测量方法非常相似,但其测量的精确度却显著提高,且不受CCT的影响,并能测量CH,CRF等角膜生物力学特性因子,了解角膜的粘弹性和粘滞性等特点。它们可能提供了比单独CCT更多、更完整的在眼压测量中角膜的信息。其次,ORA对LASIK术后和圆锥角膜等角膜特别薄弱的患者能很好地测量眼压且能了解角膜生物力学特性的改变。此外,ORA也广泛适用于角膜厚度偏离平均值、GAT无法准确测量眼压的病例,ORA的测量原理决定了它能够准确测量(含义是测量的系统误差<0.5mmHg)。总之,ORA允许我们去测量那些以前被大多临床医师忽略的角膜特性,那些寻求角膜参数在眼压测量中影响的新技术最终可能导致青光眼治疗的改变。同时这些新技术使测量的眼压更加接近于真实的眼内压。但目前尚需进一步研究明确的是ORA测量眼压及角膜参数对青光眼治疗的指导作用。此外,ORA在青光眼患者和已经使用药物降低眼压的患者中的应用尚需进一步研究。
【参考文献】
1 Goldmann H,Schmidt T.Ueber applanationstonometrie. Ophthalmologica 1957;134:221242
2 Fingeret M. Glaucoma and the role of new technologies. J Am Optom Assoc 1996;67(8):444446
3 Ehlers N, Bramsen T, Sperling S. Applanation tonometry and central corneal thickness. Acta Ophthalmol Copenh 1975;53(1):3443
4 Argus WA.Ocular hypertension and central corneal thickness. Ophthalmology 1995;102(12):18101812
5 Bhan A, Browing AC, Shah SI, et al. Effect of corneal thickness on intraocular measurements with the pneumotonometer, Goldman Applanation Tonometer, and TonoPen. Invest Ophthalmol Vis Sci 2002;43:13891392
6 Whitacre MM, Stein RA, Hassanein K. The effect of corneal thickness on applanation tonometry. Am J Ophthalmol 1993;115(5):592596
7 Feltgen N, Leifert D, Funk J. Correlation between central corneal thickness, applanation tonometry, and direct intracameral IOP readings. Br J Ophthalmol 2001;85:8587
8 Montard R, Kopito R, Touzeau O, et al. Ocular response analyzer: feasibility study and correlation with normal eyes. J Fr Ophthalmol 2007;30(10):978984
9 MorenoMontaés J, Maldonado MJ, García N, et al. Reproducibility and clinical relevance of the ocular response analyzer in nonoperated eyes: corneal biomechanical and tonometric implications. Invest Ophthalmol Vis Sci 2008;49(3):968974
10 Kynigopoulos M, Schlote T, Kotecha A, et al. Repeatability of intraocular pressure and corneal biomechanical properties measurements by the ocular response analyser. Klin Monatsbl Augenheilkd 2008;225(5):357360
11 SullivanMee M, Billingsley SC, Patel AD, et al. Ocular Response Analyzer in Subjects with and without Glaucoma. Optom Vis Sci 2008;85(6):463470
12 Ehongo A,De Maertelaer V,Pourjavan S.Effect of topical corneal anaesthesia on ocular response analyzer parameters: pilot study. Int Ophthalmol 2008;11 Epub ahead of print
13 Lu F, Xu S, Qu J, et al. Central corneal thickness and corneal hysteresis during corneal swelling induced by contact lens wear with eye closure. Am J Ophthalmol 2007;143(4):616622
14 Hager A, Wiegand W. Methods of measuring intraocular pressure independently of central corneal thickness. Ophthalmologe 2008;27. Epub ahead of print
15 Lam A, Chen D, Chiu R, et al. Comparison of IOP measurements between ORA and GAT in normal Chinese. Optom Vis Sci 2007;84(9):909914
16 MartinezdelaCasa JM, GarciaFeijoo J, FernandezVidal A, et al. Ocular response analyzer versus Goldmann applanation tonometry for intraocular pressure measurements. Invest Ophthalmol Vis Sci 2006;47(10):44104414
17 Hager A, Schroeder B, Sadeghi M, et al. The influence of corneal hysteresis and corneal resistance factor on the measurement of intraocular pressure. Ophthalmologe 2007;104(6):484489
18 Touboul D, Roberts C, Kérautret J, et al. Correlations between corneal hysteresis, intraocular pressure, and corneal central pachymetry. J Cataract Refract Surg 2008;34(4):616622
19 Kirwan C, OKeefe M. Measurement of intraocular pressure in LASIK and LASEK patients using the Reichert Ocular Response Analyzer and Goldmann applanation tonometry. J Refract Surg 2008;24(4):366370
20 Pepose JS, Feigenbaum SK, Qazi MA, et al. Changes in corneal biomechanics and intraocular pressure following LASIK using static, dynamic, and noncontact tonometry. Am J Ophthalmol 2007;143(1):3947
上一页 [1] [2] |