Ultrasound biomicroscopy of the anterior segment in patients with primary congenital glaucoma: a review of the literature

被引：8

作者：

Janssens, Robin ^{[1
]}

van Rijn, Laurentius J. ^{[1
,2
]}

Eggink, Cathrien A. ^{[3
]}

Jansonius, Nomdo M. ^{[4
]}

Janssen, Sarah F. ^{[1
,5
]}

机构：

[1] Univ Amsterdam, Dept Ophthalmol, Med Ctr, Locat VUmc, Amsterdam, Netherlands

[2] OLVG Hosp, Dept Ophthalmol, Amsterdam, Netherlands

[3] Radboud Univ Nijmegen, Dept Ophthalmol, Med Ctr, Nijmegen, Netherlands

[4] Univ Med Ctr Groningen, Dept Ophthalmol, Groningen, Netherlands

[5] Dijklander Hosp, Dept Ophthalmol, Hoorn, Netherlands

来源：

ACTA OPHTHALMOLOGICA | 2022年 / 100卷 / 06期

关键词：

anterior segment; childhood glaucoma; primary congenital glaucoma; UBM; ultrasound biomicroscopy; CENTRAL CORNEAL THICKNESS; REFRACTIVE ERROR; PRESSURE; CHAMBER;

D O I：

10.1111/aos.15082

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose Primary congenital glaucoma (PCG) is a form of childhood glaucoma caused by maldevelopment of the anterior chamber. Disease severity differs greatly amongst patients. Ultrasound biomicroscopy (UBM) is a non-invasive technique that can visualize the anterior segment in infants in vivo. The purpose of this narrative review is to make an overview of the UBM data in PCG and study the applicability of UBM in characterizing the disease. Methods An online search was performed on PubMed in December 2020. After a critical appraisal of the included articles, study and patient characteristics were summarized. The UBM measurements of the anterior segment in PCG of the different studies were analysed. Results Six studies were included in this review. All were cross-sectional prospective studies. A total of 221 PCG eyes were examined. PCG eyes showed a larger trabecular iris angle, decreased iris thickness, narrower or absent Schlemm's canal and an increased zonular length compared to controls. Abnormal tissue membrane covering the trabecular meshwork and abnormal insertion of the iris and ciliary process were frequently found. The success rate of glaucoma surgery depended on the severity of anterior segment malformations found with UBM. Conclusion Malformations of the anterior segment in PCG can be demonstrated by UBM in vivo. This imaging can help to characterize disease severity and might support surgical treatment decisions.

引用

页码：605 / 613

页数：9