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评估眼睛调节系统变化的半自动程序。

Semiautomatic procedure to assess changes in the eye accommodative system.

作者信息

Moulakaki Aikaterini I, Monsálvez-Romín Daniel, Domínguez-Vicent Alberto, Esteve-Taboada José J, Montés-Micó Robert

机构信息

Optometry Research Group (GIO), Optics, Optometry and Vision Sciences Department, University of Valencia, C/Dr. Moliner, 50, 46100, Burjassot, Spain.

出版信息

Int Ophthalmol. 2018 Dec;38(6):2451-2462. doi: 10.1007/s10792-017-0752-7. Epub 2017 Oct 26.

DOI:10.1007/s10792-017-0752-7
PMID:29075940
Abstract

PURPOSE

The aim of this pilot study was to evaluate a new semiautomatic procedure to assess in vivo changes in the crystalline lens and ciliary muscle during accommodation.

METHODS

A total of 14 subjects were divided into two groups, young (aged between 20 and 25 years) and adult (aged between 35 and 40 years), and measured with an anterior segment optical coherence tomography. A semiautomatic procedure was implemented to measure the central lens thickness (CLT), anterior lens radius (ALR) and the ciliary muscle area (CMA) for the unaccommodated eye and for a vergence of - 3.00 D.

RESULTS

The CLT increase for each population group was smaller than 5%, and the dispersion of each group was similar between them. Contrariwise, the reduction in the ALR was about 30% for both groups, although the young one showed the largest variability. The CMA increase was smaller than 30% for both groups, and the dispersion was similar between them. For each metric, differences between both groups were not statistically significant.

CONCLUSIONS

The semiautomatic procedure seems to be useful for the in vivo analysis of the accommodative system. Additionally, the results obtained showed that changes in the CLT were much smaller compared to those obtained for the ALR or CMA.

摘要

目的

本初步研究的目的是评估一种新的半自动程序,以评估调节过程中晶状体和睫状肌的体内变化。

方法

总共14名受试者被分为两组,年轻组(年龄在20至25岁之间)和成年组(年龄在35至40岁之间),并使用眼前节光学相干断层扫描进行测量。实施了一种半自动程序,以测量未调节眼和-3.00 D聚散度时的晶状体中心厚度(CLT)、晶状体前半径(ALR)和睫状肌面积(CMA)。

结果

每个年龄组的CLT增加均小于5%,且两组之间的离散度相似。相反,两组的ALR减少均约为30%,尽管年轻组的变异性最大。两组的CMA增加均小于30%,且两组之间的离散度相似。对于每个指标,两组之间的差异均无统计学意义。

结论

半自动程序似乎有助于对调节系统进行体内分析。此外,获得的结果表明,与ALR或CMA相比,CLT的变化要小得多。

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本文引用的文献

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Quantification of the ciliary muscle and crystalline lens interaction during accommodation with synchronous OCT imaging.利用同步光学相干断层扫描成像技术对调节过程中睫状肌与晶状体的相互作用进行量化分析。
Biomed Opt Express. 2016 Mar 17;7(4):1351-64. doi: 10.1364/BOE.7.001351. eCollection 2016 Apr 1.
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The accommodative ciliary muscle function is preserved in older humans.老年人的睫状肌调节功能得以保留。
Sci Rep. 2016 May 6;6:25551. doi: 10.1038/srep25551.
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The Effect of Age, Accommodation, and Refractive Error on the Adult Human Eye.
Effect of age in the ciliary muscle during accommodation: Sectorial analysis.
调节过程中年龄对睫状肌的影响:扇形分析
J Optom. 2019 Jan-Mar;12(1):14-21. doi: 10.1016/j.optom.2018.01.001. Epub 2018 Apr 4.
年龄、调节和屈光不正对成年人类眼睛的影响。
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Age-related changes in the anterior segment biometry during accommodation.调节过程中眼前节生物测量的年龄相关性变化。
Invest Ophthalmol Vis Sci. 2015 Jun;56(6):3522-30. doi: 10.1167/iovs.15-16825.
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Objective measurement of accommodative biometric changes using ultrasound biomicroscopy.使用超声生物显微镜对调节性生物测量变化进行客观测量。
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Dynamic imaging of accommodation by swept-source anterior segment optical coherence tomography.扫频源眼前节光学相干断层扫描对调节的动态成像
J Cataract Refract Surg. 2015 Mar;41(3):501-10. doi: 10.1016/j.jcrs.2014.09.034. Epub 2015 Feb 20.
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Noninvasive imaging and measurement of accommodation using dual-channel SD-OCT.双通道 SD-OCT 用于非侵入性的调节测量。
Curr Eye Res. 2014 Jun;39(6):611-9. doi: 10.3109/02713683.2013.860991. Epub 2013 Nov 8.
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Accommodative movements of the vitreous membrane, choroid, and sclera in young and presbyopic human and nonhuman primate eyes.玻璃体膜、脉络膜和巩膜在年轻和远视的人和非人灵长类动物眼中的调节运动。
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