Yalcin Elvan, Balci Ozlem
World Eye Hospital, Department of Pediatric Ophthalmology, Istanbul, Turkey.
Kolan Hospitalium Group, Istanbul, Turkey.
Clin Ophthalmol. 2014 Apr 12;8:749-53. doi: 10.2147/OPTH.S58541. eCollection 2014.
To evaluate whether there was a difference in peripapillary retinal nerve fiber layer (RNFL) and foveal thickness between amblyopic and normal individuals with optical coherence tomography.
Sixty patients, 30 patients with hypermetropic anisometropic amblyopia and 30 normal emmetropic subjects, were enrolled in this study. The eyes of the participants were divided into three groups: 30 eyes of 30 patients with amblyopia (A), 30 fellow eyes of the amblyopic patients (B), and 30 eyes of 30 normal subjects (C). Emmetropic normal subjects included cases with normal visual acuity and unremarkable ocular examinations. After routine ophthalmic examination, peripapillary retinal nerve fiber layer and foveal thickness measurements were measured by time-domain optical coherence tomography and compared among the three groups.
The difference in RNFL thickness between amblyopic eyes, fellow eyes of the amblyopic patients, and normal eyes of the emmetropic subjects was not clinically significant. However, the mean foveal thickness was significantly thicker in amblyopic eyes versus the fellow eyes and normal subjects' eyes.
Our results suggest that amblyopia seems to have an effect on the foveal thickness, but not on the RNFL thickness.
运用光学相干断层扫描技术评估弱视患者与正常个体之间视乳头周围视网膜神经纤维层(RNFL)及黄斑中心凹厚度是否存在差异。
本研究纳入60例患者,其中30例为远视性屈光参差性弱视患者,30例为正视眼正常受试者。将参与者的眼睛分为三组:30例弱视患者的30只患眼(A组)、30例弱视患者的30只对侧眼(B组)以及30例正常受试者的30只眼(C组)。正视眼正常受试者包括视力正常且眼部检查无异常的病例。经过常规眼科检查后,采用时域光学相干断层扫描技术测量视乳头周围视网膜神经纤维层及黄斑中心凹厚度,并在三组之间进行比较。
弱视眼、弱视患者的对侧眼以及正视眼正常受试者的RNFL厚度差异在临床上无显著意义。然而,弱视眼的平均黄斑中心凹厚度显著厚于对侧眼及正常受试者的眼睛。
我们的研究结果表明,弱视似乎对视乳头周围视网膜神经纤维层厚度无影响,但对黄斑中心凹厚度有影响。