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用视网膜功能成像测量色素性视网膜炎的视网膜血流速度。

Retinal blood flow velocity measured by retinal function imaging in retinitis pigmentosa.

机构信息

Medical Faculty Mannheim of the Ruprecht-Karls-University Heidelberg, Mannheim, Germany.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2011 Dec;249(12):1855-8. doi: 10.1007/s00417-011-1757-y. Epub 2011 Aug 27.

DOI:10.1007/s00417-011-1757-y
PMID:21874346
Abstract

BACKGROUND

To measure the retinal blood flow velocity in patients with retinitis pigmentosa using the retinal function imaging technique.

METHODS

The clinical observational investigation included a study group of five eyes of five patients (age: 55.7 ± 8.6 years) with retinitis pigmentosa (RP) and a control group of five eyes of five healthy subjects. We used a randomly chosen eye of the RP patients, and compared its results to the normal subjects using a mixed linear model, correcting for heart rate, age, and gender.

RESULTS

The mean blood velocity in the narrow retinal veins (1.7 ± 0.35 cm/s versus 3.0 ± 0.35 cm/s; P < 0.001) and wide retinal veins (1.5 ± 0.35 cm/s versus 3.1 ± 0.30 cm/s; P < 0.001) was significantly lower in the study group than in the control group not correcting for heart rate, age or gender. Correspondingly, the arterial blood flow velocity was significantly lower in the study group than in the control group for the narrow arterial vessels (2.3 ± 0.55 versus 4.2 ± 0.5; P = 0.006) and for the wide retinal arteries (2.5 ± 1.05 cm/s versus 4.8 ± 1.0 cm/s; P < 0.001).

CONCLUSIONS

Using the retinal function imaging technology revealed significantly lower retinal blood flow velocities in the small and large retinal vessels in patients with retinitis pigmentosa than in healthy subjects. This corresponds with the known decrease in the retinal vessel diameters as observed upon ophthalmoscopy in patients with retinitis pigmentosa. Retinal function imaging technology may hold promise for measurements of retinal blood flow parameters.

摘要

背景

使用视网膜功能成像技术测量色素性视网膜炎患者的视网膜血流速度。

方法

临床观察研究包括一组五名色素性视网膜炎患者(年龄:55.7 ± 8.6 岁)的五只眼(研究组)和五名健康受试者的五只眼(对照组)。我们使用随机选择的 RP 患者的一只眼,并用混合线性模型进行比较,校正心率、年龄和性别。

结果

未校正心率、年龄和性别时,窄视网膜静脉(1.7 ± 0.35cm/s 与 3.0 ± 0.35cm/s;P<0.001)和宽视网膜静脉(1.5 ± 0.35cm/s 与 3.1 ± 0.30cm/s;P<0.001)的平均血流速度在研究组中明显低于对照组。相应地,窄动脉血管(2.3 ± 0.55cm/s 与 4.2 ± 0.5cm/s;P=0.006)和宽视网膜动脉(2.5 ± 1.05cm/s 与 4.8 ± 1.0cm/s;P<0.001)的血流速度在研究组中明显低于对照组。

结论

使用视网膜功能成像技术发现,色素性视网膜炎患者的小和大视网膜血管中的视网膜血流速度明显低于健康受试者。这与在色素性视网膜炎患者的眼底镜检查中观察到的视网膜血管直径减小相一致。视网膜功能成像技术可能有望用于测量视网膜血流参数。

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Jpn J Ophthalmol. 2009 Jul;53(4):345-51. doi: 10.1007/s10384-009-0689-0. Epub 2009 Sep 8.
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