Yoon Sang Won, Park Won Ho, Baek Seung-Hee, Kong Sang Mook
Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul, Korea.
Korean J Ophthalmol. 2005 Mar;19(1):62-7. doi: 10.3341/kjo.2005.19.1.62.
This prospective study was performed to measure the macular and the peripapillary retinal nerve fiber layer (RNFL) thicknesses using optical coherence tomography (OCT) in patients with anisometropic amblyopia. Thirty-one patients with hyperopic anisometropic amblyopia were included. The macular retinal thickness and the peripapillary RNFL thickness were measured using OCT. The mean refractive error was +3.71 diopters (D) and +1.00 D, the mean macular retinal thickness was 252.5 microm and 249.7 microm, and the mean RNFL thickness was 115.2 microm and 109.6 microm, inthe amblyopic eye and the normal eye, respectively. OCT assessment of RNFL thickness revealed a significantly thicker RNFL in hyperopic anisometropic amblyopia (P=0.019), but no statistically significant difference was found in macular retinal thickness (P>0.05). In conclusion, the amblyopic process may involve the peripapillary RNFL, but not the macula. However, further evaluation is needed.
本前瞻性研究旨在使用光学相干断层扫描(OCT)测量屈光参差性弱视患者的黄斑和视乳头周围视网膜神经纤维层(RNFL)厚度。纳入了31例远视性屈光参差性弱视患者。使用OCT测量黄斑视网膜厚度和视乳头周围RNFL厚度。弱视眼和正常眼的平均屈光不正分别为+3.71屈光度(D)和+1.00 D,平均黄斑视网膜厚度分别为252.5微米和249.7微米,平均RNFL厚度分别为115.2微米和109.6微米。OCT对RNFL厚度的评估显示,远视性屈光参差性弱视患者的RNFL明显更厚(P=0.019),但黄斑视网膜厚度未发现统计学上的显著差异(P>0.05)。总之,弱视过程可能涉及视乳头周围RNFL,但不涉及黄斑。然而,需要进一步评估。