Gao Jian, Liao Rong-Feng
Department of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Zhonghua Yan Ke Za Zhi. 2013 Jul;49(7):627-32.
To investigate the ciliary sulcus diameters in horizontal and vertical axes and to analyze the correlation between white-to-white diameter and horizontal ciliary sulcus diameter for high myopia eyes at different anterior chamber depths.
IOL-Master was used to measure white-to-white diameters and anterior chamber depths of 108 high myopia eyes and verified by digital caliper. Based on the depth of central anterior chamber not including corneal thickness, the testing eyes were divided into three groups: shallow AC group (3.0 mm < ACD ≤ 3.2 mm), medium AC group (3.2 mm < ACD ≤ 3.4 mm), and deep AC group (ACD > 3.4 mm). Furthermore, the horizontal and vertical ciliary sulcus diameters were checked by full-scale 50-Hz ultrasound biomicroscopy. The data of three AC groups were analyzed separately. The paired sample t-test was used to compare: white-to-white diameters and horizontal sulcus diameters, horizontal and vertical suclus diameters. The correlations between white-to-white diameters and horizontal sulcus diameters were assessed using linear regression analysis. The difference in the three groups of white-to-white diameters and ciliary sulcus diameters were compared by Student Newman Keuls test.
The mean diameters and standard deviations of WTW diameters and horizontal ciliary sulcus diameters in the shallow AC group was, respectively, (11.46 ± 0.38) and (11.57 ± 0.32) mm(t = -2.849, P = 0.007). Linear regression analysis found a statistically significant correlation between white-to-white diameters and horizontal sulcus diameters with a coefficient of determinant of 0.797 (P = 0.000). The mean vertical suclus diameters was (12.27 ± 0.48) mm. The difference between horizontal and vertical suclus diameters was statistically significant (t = -15.522, P = 0.000) . The mean diameters and standard deviations of WTW diameters and horizontal ciliary sulcus diameters in the medium AC group was, respectively, (11.58 ± 0.31) and (11.77 ± 0.26) mm. (t = -4.523, P = 0.000). Linear regression analysis found a statistically significant correlation between white-to-white diameters and horizontal sulcus diameters with a coefficient of determinant of 0.639 (P = 0.000). The mean vertical suclus diameters was (12.52 ± 0.37) mm. The difference between horizontal and vertical suclus diameters was statistically significant (t = -13.987, P = 0.001) . The mean diameters and standard deviations of WTW diameters and horizontal ciliary sulcus diameters in the medium AC group was, respectively, (11.68 ± 0.22) and (11.91 ± 0.23) mm (t = -5.157, P = 0.000). Linear regression did not reveal horizontal sulcus diameters were a significant predictor of white-to-white diameters with a coefficient of determinant of 0.253 (P = 0.126). The mean vertical suclus diameters was (12.69 ± 0.36) mm. The difference between horizontal and vertical suclus diameters was statistically significant (t = -18.433, P = 0.000) .
The white-to-white diameter measuring technique is not identical to the horizontal diameter of the ciliary sulcus and the potential difference between them is increased with deepening anterior chamber depth. Our preliminary study illustrated that the ciliary sculus is not circular and a vertical diameter is longer than horizontal one.
研究高度近视眼水平和垂直方向的睫状沟直径,并分析不同前房深度下白对白直径与水平睫状沟直径之间的相关性。
使用IOL-Master测量108只高度近视眼的白对白直径和前房深度,并用数字卡尺进行验证。根据中央前房深度(不包括角膜厚度),将受检眼分为三组:浅前房组(3.0mm<ACD≤3.2mm)、中等前房组(3.2mm<ACD≤3.4mm)和深前房组(ACD>3.4mm)。此外,通过50Hz全量程超声生物显微镜检查水平和垂直睫状沟直径。分别分析三组前房的数据。采用配对样本t检验比较:白对白直径与水平沟直径、水平和垂直沟直径。使用线性回归分析评估白对白直径与水平沟直径之间的相关性。通过Student Newman Keuls检验比较三组白对白直径和睫状沟直径的差异。
浅前房组白对白直径和水平睫状沟直径的平均直径及标准差分别为(11.46±0.38)和(11.57±0.32)mm(t=-2.849,P=0.007)。线性回归分析发现白对白直径与水平沟直径之间存在统计学显著相关性,决定系数为0.797(P=0.000)。垂直沟平均直径为(12.27±0.48)mm。水平和垂直沟直径之间的差异具有统计学意义(t=-15.522,P=0.000)。中等前房组白对白直径和水平睫状沟直径的平均直径及标准差分别为(11.58±0.31)和(11.77±0.26)mm。(t=-4.523,P=0.000)。线性回归分析发现白对白直径与水平沟直径之间存在统计学显著相关性,决定系数为0.639(P=0.000)。垂直沟平均直径为(12.52±0.37)mm。水平和垂直沟直径之间的差异具有统计学意义(t=-13.987,P=0.001)。深前房组白对白直径和水平睫状沟直径的平均直径及标准差分别为(11.68±0.22)和(11.91±0.23)mm(t=-5.157,P=0.000)。线性回归未显示水平沟直径是白对白直径的显著预测指标,决定系数为0.253(P=0.126)。垂直沟平均直径为(12.69±0.36)mm。水平和垂直沟直径之间的差异具有统计学意义(t=-18.433,P=0.000)。
白对白直径测量技术与睫状沟水平直径不同,且它们之间的潜在差异随着前房深度的增加而增大。我们的初步研究表明,睫状沟不是圆形的,垂直直径长于水平直径。