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影响急性中心性浆液性脉络膜视网膜病变视觉预后的因素。

Factors affecting the visual outcome in acute central serous chorioretinopathy.

作者信息

Islam Qamar Ul, Farooq Muhammad Asad, Mehboob Mohammad Asim

机构信息

Dr. Qamar Ul Islam, FCPS (Ophthalmology), FCPS (VRO). Department of Ophthalmology, PNS Shifa Hospital, Karachi.

Dr. Muhammad Asad Farooq, MBBS. Department of Ophthalmology, CMH Multan.

出版信息

Pak J Med Sci. 2017 Jan-Feb;33(1):3-7. doi: 10.12669/pjms.331.11664.

Abstract

OBJECTIVE

To determine the visual outcome in patients with acute Central serous chorioretinopathy (CSCR) and to analyze the association of clinical, angiographic and tomographic factors with final visual outcome in Pakistani population.

METHODS

This study was conducted at AFIO Rawalpindi and PNS Shifa Naval hospital Karachi from November 2011 to August 2016. Fifty five eyes of 53 patients with acute CSCR were included. All patients underwent a detailed ophthalmic examination including SD OCT imaging at baseline, One month and three month and FFA was performed at baseline. Primary outcome measures were measurement of initial and final BCVA and CFT. SPSS 13.0 was used for the analysis of data.

RESULTS

Mean age of study population was 36.66 ± 6.24 years. On OCT mean CFT at baseline was 467.49 ± 144.80 µm in affected eye, whereas mean CFT measurements at final follow up was 244.67 ± 32.99 µm (p <0.01). Presenting mean log MAR BCVA was 0.47 ± 0.25 and final mean log MAR BCVA was 0.18 ± 0.14 (p <0.01). Baseline BCVA showed statistically significant association with final BCVA (p=0.03).

CONCLUSION

Presenting VA of 6/12 or better is associated with favorable visual outcome in patients with acute CSCR.

摘要

目的

确定急性中心性浆液性脉络膜视网膜病变(CSCR)患者的视力转归,并分析巴基斯坦人群中临床、血管造影和断层扫描因素与最终视力转归的相关性。

方法

本研究于2011年11月至2016年8月在拉瓦尔品第的AFIO和卡拉奇的PNS希法海军医院进行。纳入53例急性CSCR患者的55只眼。所有患者均接受了详细的眼科检查,包括基线、1个月和3个月时的SD OCT成像,并在基线时进行了FFA检查。主要观察指标为初始和最终最佳矫正视力(BCVA)及中心凹视网膜厚度(CFT)的测量。使用SPSS 13.0进行数据分析。

结果

研究人群的平均年龄为36.66±6.24岁。在OCT上,患眼基线时的平均CFT为467.49±144.80µm,而最终随访时的平均CFT测量值为244.67±32.99µm(p<0.01)。初始平均log MAR BCVA为0.47±0.25,最终平均log MAR BCVA为0.18±0.14(p<0.01)。基线BCVA与最终BCVA显示出统计学上的显著相关性(p=0.03)。

结论

急性CSCR患者初始视力为6/12或更好与良好的视力转归相关。

相似文献

本文引用的文献

1
Advances in the treatment of central serous chorioretinopathy.中心性浆液性脉络膜视网膜病变的治疗进展
Saudi J Ophthalmol. 2015 Oct-Dec;29(4):278-86. doi: 10.1016/j.sjopt.2015.01.007. Epub 2015 Jan 24.

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