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青光眼患者神经节细胞复合体与视盘及视网膜神经纤维层结构测量值之间的相关性

Correlation between the ganglion cell complex and structural measures of the optic disc and retinal nerve fiber layer in glaucoma.

作者信息

Bresciani-Battilana Erica, Teixeira Ivan C, Barbosa Diego T Q, Caixeta-Umbelino Cristiano, Paolera Maurício D, Kasahara Niro

机构信息

Department of Ophthalmology, Irmandade da Santa Casa de Misericordia de Sao Paulo, Santa Casa de Sao Paulo School of Medical Sciences, Rua Sao Mauro, 292, Sao Paulo, SP, 02526-050, Brazil.

出版信息

Int Ophthalmol. 2015 Oct;35(5):645-50. doi: 10.1007/s10792-014-9988-7. Epub 2014 Sep 3.

DOI:10.1007/s10792-014-9988-7
PMID:25183459
Abstract

To correlate the ganglion cell complex (GCC) parameters with structural measures of the optic nerve head (ONH) and retinal nerve fiber layer (RNFL) as evaluated by Fourier-Domain optic coherence tomography (OCT). This retrospective study included patients with glaucoma, ocular hypertensive patients and glaucoma suspects who had previously undergone OCT examination with the RTVue-100. The parameters of GCC (average, superior, inferior, focal loss volume [FLV], global loss volume [GLV]) were correlated with the values of the ONH (cup volume, cup area, horizontal cup-to-disk ratio, vertical cup-to-disk ratio, and rim area) and RNFL (average, superior, and inferior) using Pearson's correlation coefficient. The sample included 74 eyes of 37 patients. All correlations between GCC parameters and RNFL were strong (r > 0.60). The correlation between GCC parameters and ONH were good for most parameters, except that for FLV and cup volume (r = 0.13), GLV and cup volume (r = 0.09), and GLV and cup area (r = 0.21). The GCC parameters can be used as structural measures of the glaucomatous optic neuropathy.

摘要

通过傅里叶域光学相干断层扫描(OCT)评估,将神经节细胞复合体(GCC)参数与视神经乳头(ONH)和视网膜神经纤维层(RNFL)的结构测量值进行关联。这项回顾性研究纳入了青光眼患者、高眼压症患者以及曾接受过RTVue - 100 OCT检查的青光眼疑似患者。使用Pearson相关系数将GCC的参数(平均值、上方、下方、局灶性丢失体积[FLV]、整体丢失体积[GLV])与ONH的值(杯状体积、杯状面积、水平杯盘比、垂直杯盘比和边缘面积)以及RNFL的值(平均值、上方和下方)进行关联。样本包括37例患者的74只眼。GCC参数与RNFL之间的所有相关性都很强(r > 0.60)。GCC参数与ONH之间的相关性对于大多数参数来说较好,但FLV与杯状体积(r = 0.13)、GLV与杯状体积(r = 0.09)以及GLV与杯状面积(r = 0.21)除外。GCC参数可作为青光眼性视神经病变的结构测量指标。

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本文引用的文献

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J Glaucoma. 2014 Aug;23(6):341-6. doi: 10.1097/IJG.0b013e318279c932.
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Comparison of ganglion cell and retinal nerve fiber layer thickness in primary open-angle glaucoma and normal tension glaucoma with spectral-domain OCT.应用谱域光学相干断层扫描比较原发性开角型青光眼和正常眼压型青光眼的神经节细胞和视网膜神经纤维层厚度。
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Structure-function relationship of the macular visual field sensitivity and the ganglion cell complex thickness in glaucoma.
青光眼黄斑视野敏感性与节细胞复合体厚度的结构-功能关系。
Invest Ophthalmol Vis Sci. 2012 Jul 31;53(8):5044-51. doi: 10.1167/iovs.11-9401.
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Invest Ophthalmol Vis Sci. 2012 Jul 20;53(8):4805-12. doi: 10.1167/iovs.12-9870.
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Ability of optical coherence tomography-determined ganglion cell complex thickness to total retinal thickness ratio to diagnose glaucoma.光学相干断层扫描测量的神经节细胞复合体厚度与全视网膜厚度比值诊断青光眼的能力。
J Glaucoma. 2013 Dec;22(9):757-62. doi: 10.1097/IJG.0b013e31825af58a.
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J Glaucoma. 2013 Dec;22(9):713-8. doi: 10.1097/IJG.0b013e318259b2e1.
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