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青少年X连锁视网膜劈裂症:光学相干断层扫描随访

X-Linked Retinoschisis in Juveniles: Follow-Up by Optical Coherence Tomography.

作者信息

Hu Qin-Rui, Huang Lv-Zhen, Chen Xiao-Li, Xia Hui-Ka, Li Tian-Qi, Li Xiao-Xin

机构信息

Department of Ophthalmology, Peking University People's Hospital, Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing Key Laboratory for the Diagnosis and Treatment of Retinal and Choroid Diseases, Beijing, China.

出版信息

Biomed Res Int. 2017;2017:1704623. doi: 10.1155/2017/1704623. Epub 2017 Feb 14.

Abstract

To explore the structural progression of X-linked retinoschisis (XLRS) in patients by using spectral-domain optical coherence tomography (SD-OCT). Retrospective, observational study. Patients who were diagnosed with XLRS by genetic testing underwent comprehensive ophthalmological examinations from December 2014 to October 2016. Each eye was measured by SD-OCT using the same clinical protocol. A correlation between best-corrected visual acuity (VA) and SD-OCT measurements was observed. Six patients demonstrated retinoschisis (12 eyes) and typical foveal cyst-like cavities (10 eyes) on SD-OCT images with a mean logMAR VA of 0.48. The median age was 7.5 years at the initial visit. Their foveal retinal thickness (516.9 m) and choroid thickness (351.4 m) decreased at a rate of 38.1 and 7.5 m, respectively, at the 10.5-month follow-up visit; however, there were no significant differences ( = 0.622 and = 0.406, resp.). There was no significant correlation between VA, the foveal retinal thickness, and subfoveal choroid thickness. SD-OCT images for XLRS patients during the juvenile period revealed no significant changes in the fundus structure, including the foveal retinal thickness and choroid thickness within one-year follow-up. There was a lack of correlation between VA, foveal retinal thickness, and subfoveal choroid thickness.

摘要

通过使用频域光学相干断层扫描(SD-OCT)来探究X连锁视网膜劈裂症(XLRS)患者的结构进展情况。回顾性观察研究。2014年12月至2016年10月期间,对经基因检测确诊为XLRS的患者进行了全面的眼科检查。每只眼睛均按照相同的临床方案使用SD-OCT进行测量。观察了最佳矫正视力(VA)与SD-OCT测量结果之间的相关性。6例患者(12只眼)在SD-OCT图像上显示有视网膜劈裂,10只眼有典型的黄斑囊肿样腔隙,平均logMAR视力为0.48。初诊时的中位年龄为7.5岁。在10.5个月的随访中,他们的黄斑视网膜厚度(516.9μm)和脉络膜厚度(351.4μm)分别以38.1μm和7.5μm的速率下降;然而,差异无统计学意义(分别为P = 0.622和P = 0.406)。VA、黄斑视网膜厚度和黄斑下脉络膜厚度之间无显著相关性。XLRS患者青少年期的SD-OCT图像显示,在一年的随访中,包括黄斑视网膜厚度和脉络膜厚度在内的眼底结构无显著变化。VA、黄斑视网膜厚度和黄斑下脉络膜厚度之间缺乏相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9569/5329649/dd54b7c5f120/BMRI2017-1704623.001.jpg

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