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使用增强深度成像光学相干断层扫描技术评估原发性开角型青光眼不同阶段患者各个眼底象限的脉络膜面积

Choroidal area assessment in various fundus sectors of patients at different stages of primary open-angle glaucoma by using enhanced depth imaging optical coherence tomography.

作者信息

Li Mu, Yan Xiao-Qin, Song Yin-Wei, Guo Jing-Min, Zhang Hong

机构信息

Department of Ophthalmology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Medicine (Baltimore). 2017 Mar;96(10):e6293. doi: 10.1097/MD.0000000000006293.

Abstract

To compare the choroidal area in different eye fundus sectors of subjects with normal eyes, early-stage primary open-angle glaucoma (POAG) eyes, and 10° tubular visual field POAG eyes using enhanced depth imaging optical coherence tomography.Twenty-five normal, 25 early-stage POAG, and 25 ten-degree tubular visual field POAG eyes were recruited. Enhanced depth imaging optical coherence tomography was used to measure the choroidal area in different fundus sectors (fovea; 10° superior, inferior, temporal, and 24° superior, inferior, temporal, nasal to the fovea) and the peripapillary sector.There were neither significant differences in the choroidal area at any of the 8 measured fundus sectors, nor significant differences in the percentage change between the choroidal area of the fovea and other 7 measured fundus sectors among the 3 groups (all P > 0.05). For the total peripapillary choroidal area, no significant difference was found among the 3 groups (P > 0.05); however, the temporal peripapillary choroidal area of 10° tubular visual field POAG eyes was significantly thicker than that of normal eyes (4,46,213 ± 1,16,267 vs 3,74,164 ± 1,21,658 μm; P = 0.048).Our study showed that there was no significant difference in the choroidal area of the 8 measured fundus sectors among normal, early-stage POAG, and 10° tubular visual field POAG eyes, suggesting that there might be no blood redistribution from the peripheral choroid to the subfoveal choroid. However, the thicker temporal peripapillary choroidal area might play a role in the central visual acuity protection in patients with POAG.

摘要

使用增强深度成像光学相干断层扫描技术比较正常眼、早期原发性开角型青光眼(POAG)眼和10°管状视野POAG眼不同眼底区域的脉络膜面积。招募了25只正常眼、25只早期POAG眼和25只10°管状视野POAG眼。采用增强深度成像光学相干断层扫描技术测量不同眼底区域(黄斑中心凹;黄斑中心凹上方、下方、颞侧10°,以及黄斑中心凹上方、下方、颞侧、鼻侧24°)和视乳头周围区域的脉络膜面积。在3组中,8个测量眼底区域的脉络膜面积均无显著差异,黄斑中心凹与其他7个测量眼底区域的脉络膜面积变化百分比也无显著差异(均P>0.05)。对于视乳头周围脉络膜总面积,3组间无显著差异(P>0.05);然而,10°管状视野POAG眼的视乳头颞侧脉络膜面积显著厚于正常眼(446213±116267 vs 374164±121658μm;P=0.048)。我们的研究表明,正常眼、早期POAG眼和10°管状视野POAG眼的8个测量眼底区域的脉络膜面积无显著差异,提示可能不存在从周边脉络膜到黄斑下脉络膜的血液重新分布。然而,较厚的视乳头颞侧脉络膜面积可能在POAG患者的中心视力保护中发挥作用。

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