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青少年早期脉络膜厚度与屈光不正的相关性

Correlation of choroidal thickness and ametropiain young adolescence.

作者信息

Shao Xiaolei, Zou Chang, Qin Bo

机构信息

Shenzhen Eye Hospital, Affiliated Shenzhen Eye Hospital of Jinan University, Joint College of Optometry, Shenzhen Universtiy, Shenzhen Key Laboratory of Ophthalmology, Ocular Trauma Treatment and Stem Cell Differentiation Public Service Platform of Shenzhen, Guangdong Province, China.

Clinical Medical Research Center, The Second Clinical College of Jinan University, Shenzhen People's Hospital, Shenzhen, China.

出版信息

PLoS One. 2017 Apr 12;12(4):e0174385. doi: 10.1371/journal.pone.0174385. eCollection 2017.

Abstract

Choroid has been proposed to participate in the regulation of light refraction by changing its thickness. The present study aims to analyze the characteristics of choroidal thickness (CT), and its correlation with refractive error, axial length and age in young ametropia. A total of 51 subjects (102 eyes), aged from 5 to 18 years old (mean age 10.04 ±2.78 years), with ametropia were included in the study. Choroidal imaging was obtained by enhanced depth imaging (EDI) of spectral domain Optical Coherence Tomography (OCT). CT was horizontally measured at 5 locations in across fovea with 1mm interval. We found that the spherical equivalent refractive diopter was from -7.25D to 1.6D (mean, -1.61D±1.82D), the mean axial length was 24.14mm±1.14mm. The closer to the optic disc the thinner the choroid is. CT between fovea and disc showed better correlation with refractive error (p< 0,01), axial length (p<0.01) and age (P<0.05) than those temporal to fovea. Our results indicated that the choroid is least thick around the optic disc. Thickness between fovea and optic disc is significantly associated with refractive error, axial length and age in growing adolescences. This result may help us understand the function of choroid during ametropic progression.

摘要

有人提出脉络膜可通过改变其厚度参与光折射的调节。本研究旨在分析年轻屈光不正患者脉络膜厚度(CT)的特征及其与屈光不正、眼轴长度和年龄的相关性。本研究共纳入51例年龄在5至18岁(平均年龄10.04±2.78岁)的屈光不正患者(102只眼)。通过光谱域光学相干断层扫描(OCT)的增强深度成像(EDI)获得脉络膜图像。在黄斑中心凹水平方向以1mm间隔的5个位置测量CT。我们发现等效球镜度为-7.25D至1.6D(平均,-1.61D±1.82D),平均眼轴长度为24.14mm±1.14mm。脉络膜越靠近视盘越薄。与黄斑颞侧相比,黄斑中心凹与视盘之间的CT与屈光不正(p<0.01)、眼轴长度(p<0.01)和年龄(P<0.05)的相关性更好。我们的结果表明,视盘周围的脉络膜最薄。在青少年生长过程中,黄斑中心凹与视盘之间的厚度与屈光不正、眼轴长度和年龄显著相关。这一结果可能有助于我们了解屈光不正进展过程中脉络膜的功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7d/5389608/05ced42997a7/pone.0174385.g001.jpg

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