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[青光眼患者视网膜静脉运动分析]

[Analysis of retinal vein motion in glaucoma patients].

作者信息

Ghanem M, Gugleta K, Oettli A, Kochkorov A, Polunina A, Flammer J, Orgül S

机构信息

Augenklinik des Universitätsspitals Basel, Switzerland.

出版信息

Klin Monbl Augenheilkd. 2013 Apr;230(4):358-62. doi: 10.1055/s-0032-1328361. Epub 2013 Apr 29.

Abstract

BACKGROUND

Analysis of retinal vein amplitude in eyes of glaucoma patients.

PATIENTS AND METHODS

Motion of retinal veins was captured by Retinal Vessel Analyzer in duration of 30 seconds. Inferotemporal vein segments of 500 micrometers length in the immediate vicinity of, as well as away from the optic disc were chosen. Time behavior of the average segment diameter was analyzed by the self made software: dominating frequency (heart rate) was determined by Fourier analysis, and based on this an average pulse form was produced. Difference between the highest and lowest diameter point was the subject of analysis in 25 eyes of 25 glaucoma patients and 25 age-sex-matched healthy controls.

RESULTS

Pulse amplitude of retinal veins in healthy eyes was higher than in glaucoma patients: in the optic disc vicinity the pulse amplitude relative to baseline was 2.6 ± 2.1% in control eyes and 1.4 ± 0.8% in glaucoma eyes (t-test, p = 0.009). Away from the disc, it was 1.7 ± 1.0% and 1.1 ± 0.5% respectively (p = 0.01).

CONCLUSIONS

Retinal veins in glaucoma eyes demonstrate lower pulse amplitudes than healthy eyes, indicating disturbance in venous outflow and increased intraluminal venous pressure.

摘要

背景

青光眼患者眼部视网膜静脉振幅分析。

患者与方法

使用视网膜血管分析仪在30秒内捕捉视网膜静脉的运动。选取紧邻视盘以及远离视盘的长度为500微米的颞下静脉段。通过自制软件分析平均段直径的时间行为:通过傅里叶分析确定主导频率(心率),并据此生成平均脉冲形式。分析25例青光眼患者的25只眼睛以及25名年龄和性别匹配的健康对照者的眼睛中最高和最低直径点之间的差异。

结果

健康眼睛的视网膜静脉脉冲振幅高于青光眼患者:在视盘附近,相对于基线的脉冲振幅在对照眼中为2.6±2.1%,在青光眼眼中为1.4±0.8%(t检验,p = 0.009)。在远离视盘处,分别为1.7±1.0%和1.1±0.5%(p = 0.01)。

结论

青光眼患者眼睛的视网膜静脉脉冲振幅低于健康眼睛,表明静脉流出受阻且管腔内静脉压力升高。

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