虹膜睫状体炎患眼角膜内皮细胞的观察

Image observation of corneal endotheliocytes and gray fine KP in iridocylitis

目的探讨虹膜睫状体炎时灰白色细碎KP和角膜内皮细胞形态影像的临床价值。方法选择急性虹膜睫状体炎患者31例（40只眼）。采用TOPCONSP-2000P型角膜内皮显微镜，Auto模式或Manual模式，低闪光强度，局部病变应用ImageNet分析系统。观察急性期和恢复期灰白色细碎KP及角膜内皮细胞的形态影像特征。结果急性期KP呈不规则白色斑点，数量大于裂隙灯下所见。内皮细胞出现暗区，彼此间可相互融合。恢复期KP数量减少，内皮细胞表现为亮度不均的残缺细胞形态。结论角膜内皮显微镜是一种评价KP及角膜内皮细胞的客观方法，对于急性虹膜睫状体炎的诊断和判定病情转归具有实际临床价值。

Objective To investigate the clinical values of images of gray KP and corneal endotheliocytes in iridocyclitis.Methods A total of 31 cases （ 40 eyes ）of acute iridocyclitis were observed. TOPCON SP-2000P comealendothelial microscope was used with Auto or Manual mode and low flash by Image Net system for local lesions.The shapes of gray fine KP and corneal endotheliocytes were observed during acute and recovery phases.Results During the acute phase, KP revealed irregular white speckles and the amount were more than seen by slit lamp microscopy.There were the dark spaces in corneal endotheliocytes and fusing each other sometimes.During the recovery phase amount of KP reduced and showed an incomplete cell shape with uneven brightness.Conclusions Comealendothelial microscope is an objective method estimating KP and endotheliocytes, it is valuable for diagnosis and recovery assessment of acute iridocyclitis.