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黄斑囊样水肿和视网膜色素变性患者视力相关因素。

Factors associated with visual acuity in patients with cystoid macular oedema and Retinitis Pigmentosa.

作者信息

Liew Gerald, Moore Anthony T, Bradley Patrick D, Webster Andrew R, Michaelides Michel

机构信息

a Centre for Vision Research, Westmead Institute for Medical Research , University of Sydney , Sydney , Australia.

b Department of Ophthalmology, Moorfields Eye Hospital , London , UK.

出版信息

Ophthalmic Epidemiol. 2018 Jun;25(3):183-186. doi: 10.1080/09286586.2017.1383448. Epub 2017 Nov 15.

Abstract

PURPOSE

Retinitis pigmentosa is the most common inherited retinal dystrophy. The factors associated with visual acuity in patients with other retinal diseases are well known, but are poorly understood in patients with retinitis pigmentosa. This knowledge is useful for prognosis and to support secondary endpoints in clinical trials.

METHODS

We conducted a cross-sectional study of consecutive patients recruited from the inherited retinal disease service from January 2012 to December 2012. Central macular thickness (CMT) was measured using spectral domain optical coherence tomography.

RESULTS

Data were available for 81 patients and 162 eyes. After multivariable analyses, older age, earlier age of onset of symptoms, and thicker CMT were associated with lower visual acuity. Gender and inheritance pattern were not associated with visual acuity. Each decade older age, younger age of onset, and thicker CMT was associated with 0.12, 0.10, and 0.11 worse logarithm of the minimal angle of resolution units of visual acuity, respectively (p < 0.05 for all).

CONCLUSIONS

Age, age of onset, and CMT are associated with visual acuity and important factors to measure in studies of retinitis pigmentosa.

摘要

目的

视网膜色素变性是最常见的遗传性视网膜营养不良。其他视网膜疾病患者中与视力相关的因素已为人熟知,但在视网膜色素变性患者中却了解甚少。这些知识对预后评估以及支持临床试验的次要终点很有用。

方法

我们对2012年1月至2012年12月从遗传性视网膜疾病门诊招募的连续患者进行了一项横断面研究。使用光谱域光学相干断层扫描测量中心黄斑厚度(CMT)。

结果

81例患者、162只眼的数据可用。经过多变量分析,年龄较大、症状出现较早以及CMT较厚与视力较低相关。性别和遗传模式与视力无关。年龄每增加十岁、发病年龄越小以及CMT越厚,分别与视力最小分辨角对数单位降低0.12、0.10和0.11相关(所有p均<0.05)。

结论

年龄、发病年龄和CMT与视力相关,是视网膜色素变性研究中需要测量的重要因素。

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