Şahin Muhammed, Şahin Alparslan, Yüksel Harun, Türkcü Fatih Mehmet, Yıldırım Adnan
Departments of Ophthalmology, School of Medicine, Dicle University, Diyarbakir, Turkey.
Arq Bras Oftalmol. 2016 Feb;79(1):12-4. doi: 10.5935/0004-2749.20160005.
The aim of this study was to investigate the mean platelet volume (MPV) of patients with retinal artery occlusion (RAO).
Thirty-seven patients diagnosed with RAO and 32 control subjects were included in this retrospective study. Retinal artery occlusion was diagnosed on the basis of clinical examination and fundus fluorescein angiography. All participants underwent complete ocular examination, and MPV, hematocrit, hemoglobin, and platelet counts were recorded. RAO patient data were compared with those of the control subjects.
Patients with RAO had significantly higher MPV values (7.96 ± 1.2 fL) compared with control subjects (7.33 ± 0.7 fL, p<0.001). No significant difference was found with regard to platelet count between the RAO group and the control group (262 ± 70.1 × 109/L and 251 ± 56.6 × 109/L, respectively, p=0.50). MPV was an independent predictor of RAO [odds ratio (OR)=0.50; 95% confidence interval (CI)=0.28-0.89; p=0.019).
Our results demonstrated that MPV values were significantly higher in patients with RAO, suggesting that larger platelets may contribute to the pathogenesis of the RAOs.
本研究旨在调查视网膜动脉阻塞(RAO)患者的平均血小板体积(MPV)。
本回顾性研究纳入了37例诊断为RAO的患者和32例对照者。视网膜动脉阻塞根据临床检查和眼底荧光血管造影进行诊断。所有参与者均接受了全面的眼部检查,并记录了MPV、血细胞比容、血红蛋白和血小板计数。将RAO患者的数据与对照者的数据进行比较。
与对照者(7.33±0.7fL)相比,RAO患者的MPV值显著更高(7.96±1.2fL,p<0.001)。RAO组与对照组之间的血小板计数无显著差异(分别为262±70.1×10⁹/L和251±56.6×10⁹/L,p=0.50)。MPV是RAO的独立预测因素[比值比(OR)=0.50;95%置信区间(CI)=0.28-0.89;p=0.019]。
我们的结果表明,RAO患者的MPV值显著更高,提示较大的血小板可能在RAO的发病机制中起作用。