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通过光学相干断层扫描测量非青光眼台湾人群的视网膜神经纤维层厚度。

Retinal nerve fiber layer thickness measured by optical coherence tomography in non-glaucomatous Taiwanese.

作者信息

Peng Pai-Huei, Lin Huey-Shyan

机构信息

Department of Ophthalmology, Shin-Kong Wu Ho-Su Memorial Hospital, Fooyin University, Taipei, Taiwan.

出版信息

J Formos Med Assoc. 2008 Aug;107(8):627-34. doi: 10.1016/S0929-6646(08)60180-1.

Abstract

BACKGROUND/PURPOSE: Assessment of the peripapillary retinal nerve fiber layer (RNFL) is essential for neuroretinal diseases, especially for early prediction of glaucomatous damage. The purpose of this study was to measure RNFL thickness by Stratus optical coherence tomography (OCT) in normal Taiwanese subjects according to age group.

METHODS

The thickness of the RNFL around the disc of normal subjects was obtained, after pupil dilation, by means of 3.4 mm diameter fast mode circle OCT scan. Data for one randomly selected eye of each subject were used for statistical analysis. Differences in RNFL thickness were determined by ANOVA.

RESULTS

A total of 162 participants were evaluated: 61 male and 101 female, with mean age of 41.3 +/- 20 years (range, 6-74 years). Mean RNFL thickness was 108.7 +/- 9.4 micrometers (range, 85.5-133.7 micrometers). The RNFL was thickest in the inferior (135.8 +/- 16.3 micrometers) and superior (133.9 +/- 18.0 micrometers) quadrants, followed by the nasal (82.6 +/- 16.0 micrometers) and temporal (82.4 +/- 17.8 micrometers) quadrants (F = 551.9, p < 0.001).

CONCLUSION

RNFL thickness was determined by OCT for a normal Taiwanese population aged 6-74 years. The normative data from this study may offer valuable information to enable comparisons of ocular diseases involving RNFL across different populations.

摘要

背景/目的:评估视乳头周围视网膜神经纤维层(RNFL)对于神经视网膜疾病至关重要,尤其是对于青光眼性损害的早期预测。本研究的目的是根据年龄组,通过Stratus光学相干断层扫描(OCT)测量正常台湾受试者的RNFL厚度。

方法

在瞳孔散大后,通过直径3.4mm的快速模式环形OCT扫描获取正常受试者视盘周围RNFL的厚度。每个受试者随机选择一只眼睛的数据用于统计分析。通过方差分析确定RNFL厚度的差异。

结果

共评估了162名参与者:男性61名,女性101名,平均年龄41.3±20岁(范围6 - 74岁)。平均RNFL厚度为108.7±9.4微米(范围85.5 - 133.7微米)。RNFL在下象限(135.8±16.3微米)和上象限(133.9±18.0微米)最厚,其次是鼻侧象限(82.6±16.0微米)和颞侧象限(82.4±17.8微米)(F = 551.9,p < 0.001)。

结论

通过OCT测定了6 - 74岁正常台湾人群的RNFL厚度。本研究的规范数据可能为比较不同人群中涉及RNFL的眼部疾病提供有价值的信息。

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