Yamazaki Taizo, Koizumi Hideki, Yamagishi Tetsuya, Kinoshita Shigeru
Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Retina. 2014 Jul;34(7):1316-22. doi: 10.1097/IAE.0000000000000086.
To investigate the subfoveal choroidal thickness in patients with retinal angiomatous proliferation (RAP).
In consecutive patients with RAP, subfoveal choroidal thickness was retrospectively measured by the use of enhanced depth imaging spectral domain optical coherence tomography in comparison with age-matched control subjects.
Nineteen eyes of 19 patients with RAP and 32 eyes of 32 control subjects were included in this study. No significant differences were found between the eyes with RAP and the control eyes regarding age, gender, spherical equivalent, and axial length. Mean subfoveal choroidal thickness in 19 eyes with RAP was significantly less than that in the control eyes (129.5 ± 35.8 μm vs. 201.3 ± 55.0 μm, P < 0.0001). The difference in mean subfoveal choroidal thickness between eyes with Stage 2 RAP (132.8 ± 38.2 μm) and eyes with Stage 3 RAP (126.4 ± 36.6 μm) was not significant, though each measurement was significantly less than that in the control eyes (P < 0.001 and P = 0.002, respectively).
Eyes with RAP had a significantly thinner subfoveal choroid compared with normal eyes. Such morphologic features may be related to the pathologic mechanism of RAP.
研究视网膜血管瘤样增生(RAP)患者的黄斑中心凹下脉络膜厚度。
对连续的RAP患者,采用增强深度成像光谱域光学相干断层扫描技术回顾性测量黄斑中心凹下脉络膜厚度,并与年龄匹配的对照者进行比较。
本研究纳入了19例RAP患者的19只眼和32例对照者的32只眼。RAP组和对照组在年龄、性别、等效球镜和眼轴长度方面无显著差异。19只RAP眼的平均黄斑中心凹下脉络膜厚度显著低于对照眼(129.5±35.8μm对201.3±55.0μm,P<0.0001)。2期RAP眼(132.8±38.2μm)和3期RAP眼(126.4±36.6μm)的平均黄斑中心凹下脉络膜厚度差异无统计学意义,尽管每次测量均显著低于对照眼(分别为P<0.001和P=0.002)。
与正常眼相比,RAP眼的黄斑中心凹下脉络膜明显变薄。这种形态学特征可能与RAP的病理机制有关。