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通过光谱域光学相干断层扫描对非增殖性糖尿病视网膜病变进行视网膜内外层厚度测绘

Inner and outer retinal thickness mapping of nonproliferative diabetic retinopathy by spectral-domain optical coherence tomography.

作者信息

Lim Jennifer I, Zelkha Ruth, Niec Marcia, Setlur Vikram, Shahidi Mahnaz

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2015 Mar;46(3):316-20. doi: 10.3928/23258160-20150323-03.

Abstract

BACKGROUND AND OBJECTIVE

To report inner retinal thickness (IRT), outer retinal thickness (ORT), and total retinal thickness (TRT) mapping of nonproliferative diabetic retinopathy (DR).

PATIENTS AND METHODS

Spectral-domain optical coherence tomography (SD-OCT) images were obtained in 31 study participants with nonproliferative DR. Semi-automated software generated IRT, ORT, and TRT maps. IRT, ORT, and TRT in each macular subfield were compared between groups with and without increased central subfield thickness.

RESULTS

There were statistically significant differences in IRT, ORT, and TRT between groups (P < .007). In participants with nonproliferative DR with increased central subfield thickness, TRT was significantly increased in parafoveal and perifoveal inferior subfields (P < .001). In these subfields, both IRT and ORT were significantly increased (P < .007) compared to those in participants without increased central subfield thickness.

CONCLUSION

Mapping of inner and outer retinal thickness shows promise for monitoring depth-specific thickness alterations by macular subfields due to DR.

摘要

背景与目的

报告非增殖性糖尿病视网膜病变(DR)的视网膜内层厚度(IRT)、视网膜外层厚度(ORT)及视网膜总厚度(TRT)图谱。

患者与方法

对31例非增殖性DR研究参与者进行了频域光学相干断层扫描(SD-OCT)成像。半自动软件生成IRT、ORT及TRT图谱。比较了中心子区域厚度增加组与未增加组各黄斑子区域的IRT、ORT及TRT。

结果

两组间IRT、ORT及TRT存在统计学显著差异(P < .007)。在中心子区域厚度增加的非增殖性DR参与者中,旁中心凹和中心凹下周边子区域的TRT显著增加(P < .001)。与中心子区域厚度未增加的参与者相比,这些子区域的IRT和ORT均显著增加(P < .007)。

结论

视网膜内层和外层厚度图谱显示有望用于监测DR导致的黄斑子区域特定深度的厚度变化。

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