Li Mu, Yan Xiao-Qin, Song Yin-Wei, Guo Jing-Min, Zhang Hong
Department of Ophthalmology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Medicine (Baltimore). 2017 Mar;96(10):e6293. doi: 10.1097/MD.0000000000006293.
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.
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。