Hsu Sheng-Yao, Tung I-Chen, Sheu Min-Muh, Tsai Rong-Kung
Department of Ophthalmology, Buddhist Tzu Chi Medical Center, Hualien, Taiwan.
Kaohsiung J Med Sci. 2006 Sep;22(9):447-51. doi: 10.1016/S1607-551X(09)70336-5.
We investigated the interoperator reproducibility of peripapillary retinal nerve fiber layer (RNFL) and macular retinal thickness measurements using optical coherence tomography (OCT) in healthy Taiwanese eyes. In this study, OCT-3 was used by three trained and experienced operators to measure peripapillary RNFL and macular retinal thickness in a randomly chosen single eye from each normal subject. Mean thickness levels and the differences in thickness measurements among the three operators were calculated and compared. The eyes of 39 subjects (24 females and 15 males) were enrolled. The mean age of the subjects was 30.4 +/- 16.1 years (range, 11-46 years). The mean pupil diameter after pupillary dilation was 7.4 +/- 0.6mm (range, 6-9 mm). Comparing peripapillary RNFL and macular retinal thickness measurements after pupillary dilation, there were no significant differences in: superior, inferior, temporal, and nasal peripapillary areas; 6 mm total macular volume and foveal thickness; and 1, 3 and 6 mm perifoveal areas among the three operators. In this study, OCT thickness measurements showed good interoperator reproducibility among three trained and experienced operators.
我们使用光学相干断层扫描(OCT)研究了健康台湾人眼中视乳头周围视网膜神经纤维层(RNFL)和黄斑视网膜厚度测量的操作者间可重复性。在本研究中,三名训练有素且经验丰富的操作者使用OCT-3对每个正常受试者随机选择的单眼测量视乳头周围RNFL和黄斑视网膜厚度。计算并比较了三名操作者之间的平均厚度水平和厚度测量差异。纳入了39名受试者(24名女性和15名男性)的眼睛。受试者的平均年龄为30.4±16.1岁(范围11-46岁)。散瞳后的平均瞳孔直径为7.4±0.6mm(范围6-9mm)。比较散瞳后视乳头周围RNFL和黄斑视网膜厚度测量结果,三名操作者在视乳头周围上、下、颞侧和鼻侧区域;6mm总黄斑体积和中央凹厚度;以及中央凹周围1、3和6mm区域方面均无显著差异。在本研究中,OCT厚度测量在三名训练有素且经验丰富的操作者之间显示出良好的操作者间可重复性。