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中心性浆液性脉络膜视网膜病变中视网膜敏感度与视网膜厚度的相关性。

Correlation of retinal sensitivity and retinal thickness in central serous chorioretinopathy.

机构信息

Ophthalmology Department, Yeditepe University Eye Hospital, Istanbul, Turkey.

出版信息

Ophthalmologica. 2010;224(1):2-9. doi: 10.1159/000233229. Epub 2009 Aug 13.

Abstract

AIM

To evaluate the correlation of microperimetry (MP) and optical coherence tomography (OCT) in eyes having acute onset of central serous chorioretinopathy (CSCR).

METHODS

After a detailed ophthalmological examination, all cases were evaluated by fundus fluorescein angiography, OCT and MP. Mean macular thickness was detected by OCT. Mean macular sensitivity (MS) and mean defect (MD) were determined by MP. The correlation between OCT and MP findings was analyzed by Spearman's correlation test.

RESULTS

Fifteen eyes with CSCR of 15 patients with a mean age of 40.5 +/- 6.7 years were recruited. The mean visual acuity was 0.7 +/- 0.2, and the mean macular thickness was 348.9 +/- 75.8 mum. Mean MS and MD were 13.9 +/- 4.6 and -5.2 +/- 4.1 dB, respectively. The mean macular thickness was significantly correlated with both mean MS and MD (p = 0.011 and p = 0.017, respectively). A significant correlation was also found between mean macular thickness, MS and MD in the central 1 mm, superior 3 mm and nasal 3 mm of the macula (p < 0.05).

CONCLUSIONS

Our results demonstrated a significant correlation between structural and functional changes in CSCR. MP provides quantitative measurements of central macular function in CSCR that may supplement OCT findings as well as the better understanding of visual functions during the acute stage of the disease.

摘要

目的

评估急性中心性浆液性脉络膜视网膜病变(CSCR)患者的微视野计(MP)和光学相干断层扫描(OCT)的相关性。

方法

在详细的眼科检查后,所有病例均通过眼底荧光血管造影、OCT 和 MP 进行评估。OCT 检测黄斑平均厚度。MP 检测黄斑平均敏感度(MS)和平均缺损(MD)。用 Spearman 相关检验分析 OCT 和 MP 结果之间的相关性。

结果

纳入了 15 名年龄 40.5±6.7 岁的 CSCR 患者的 15 只眼。平均视力为 0.7±0.2,黄斑平均厚度为 348.9±75.8µm。MS 和 MD 的平均值分别为 13.9±4.6 和-5.2±4.1dB。黄斑平均厚度与 MS 和 MD 均显著相关(p=0.011 和 p=0.017)。黄斑中心 1mm、上侧 3mm 和鼻侧 3mm 的黄斑平均厚度、MS 和 MD 之间也存在显著相关性(p<0.05)。

结论

我们的结果表明 CSCR 的结构和功能变化之间存在显著相关性。MP 可提供 CSCR 中心黄斑功能的定量测量,可补充 OCT 结果,并更好地了解疾病急性阶段的视觉功能。

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