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[调节对人晶状体形态特征影响的磁共振成像研究]

[Magnetic resonance imaging study of effects of accommodation on human lens morphological characters].

作者信息

Zheng Sui-lian, Zhang Ai, Shi Jian-jing, Zhou Yun-xin

机构信息

Department of Ophthalmology, Second Affiliated Hospital, Wenzhou Medical College, Wenzhou 325000, China. Email:

出版信息

Zhonghua Yi Xue Za Zhi. 2013 Nov 5;93(41):3280-3.

Abstract

OBJECTIVE

To evaluate the effects of accommodation on lens morphological characters.

METHODS

From January 2011 to June 2011, magnetic resonance images of eyes were acquired from 30 subjects aged 20 to 24 years during accommodation and at rest. The optimal images were analyzed by Autocad 2010 to obtain the total lens cross-sectional area (CSA) and CSA of anterior and posterior portions of lens, anterior chamber depth, lens thickness, lens diameter, vitreous chamber depth and axial length during accommodation and at rest. Paired-t test was performed.

RESULTS

The anterior curvature radius (mm), posterior curvature radius (mm), CSA of anterior portion (mm(2)), CSA of posterior portion (mm(2)), total lens CSA (mm(2)) was (8.7 ± 0.8), (6.2 ± 0.5), (7.5 ± 2.1), (12.0 ± 2.6), (20 ± 4) during relaxed accommodation; anterior curvature radius (mm), posterior curvature radius (mm), CSA of anterior portion (mm(2)), CSA of posterior portion (mm(2)), total lens CSA (mm(2)) was (7.1 ± 1.3), (5.6 ± 0.5), (14.7 ± 2.9), (12.2 ± 2.1) and (27 ± 4) during accommodation. The total lens CSA (t = -11.556, P < 0.01) and CSA of anterior portion (t = -15.653, P < 0.01) both increased in accommodative states. The CSA of posterior portion of lens (t = -0.437, P > 0.05) under a statistically independent accommodative state. There was significant difference in the anterior chamber depth (t = 4.366, P < 0.01), lens thickness (t = -5.456, P < 0.01) and lens diameter (t = 4.597, P < 0.01) in accommodative states. There were insignificant differences both in vitreous chamber depth (t = 0.428, P > 0.05) and axial length (t = 0.418, P > 0.05) under accommodative states.

CONCLUSION

During accommodation, the anterior chamber depth decreases, lens thickness increases and diameter of lens decreases while anterior portions and total lens CSA increase. There are insignificant changes in posterior portions of lens CSA, vitreous chamber depth and axial length. The accommodative changes in CSA indicate that the anterior portion of lens may be related with the properties of anterior capsule and lens material, the position of zonular attachments and the location of fetal nucleus. Helmholtz theory is supported.

摘要

目的

评估调节对晶状体形态特征的影响。

方法

2011年1月至2011年6月,采集了30名年龄在20至24岁受试者在调节状态和静息状态下眼睛的磁共振图像。使用Autocad 2010对最佳图像进行分析,以获取调节状态和静息状态下晶状体的总横截面积(CSA)、晶状体前后部分的CSA、前房深度、晶状体厚度、晶状体直径、玻璃体腔深度和眼轴长度。进行配对t检验。

结果

在放松调节时,前曲率半径(mm)、后曲率半径(mm)、前部CSA(mm²)、后部CSA(mm²)、晶状体总CSA(mm²)分别为(8.7±0.8)、(6.2±0.5)、(7.5±2.1)、(12.0±2.6)、(20±4);在调节时,前曲率半径(mm)、后曲率半径(mm)、前部CSA(mm²)、后部CSA(mm²)、晶状体总CSA(mm²)分别为(7.1±1.3)、(5.6±0.5)、(14.7±2.9)、(12.2±2.1)和(27±4)。调节状态下晶状体总CSA(t=-11.556,P<0.01)和前部CSA(t=-15.653,P<0.01)均增加。在统计学独立的调节状态下,晶状体后部CSA(t=-0.437,P>0.05)。调节状态下前房深度(t=4.366,P<0.01)、晶状体厚度(t=-5.456,P<0.01)和晶状体直径(t=4.597,P<0.01)存在显著差异。调节状态下玻璃体腔深度(t=0.428,P>0.05)和眼轴长度(t=0.418,P>0.05)均无显著差异。

结论

调节时,前房深度减小,晶状体厚度增加,晶状体直径减小,而晶状体前部和总CSA增加。晶状体后部CSA、玻璃体腔深度和眼轴长度变化不显著。CSA的调节变化表明,晶状体前部可能与前囊膜和晶状体材料的特性、悬韧带附着位置以及胎儿核的位置有关。支持亥姆霍兹理论。

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