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用频域光学相干断层扫描评估前房参数

Evaluation of anterior chamber parameters with spectral-domain optical coherence tomography.

作者信息

Pinilla Lozano Isabel, López de la Fuente Carmen, Segura Francisco, Orduna Hospital Elvira, Sánchez-Cano Ana

机构信息

Department of Surgery, Gynecology and Obstetrics, University of Zaragoza, Zaragoza, Spain.

Aragon Institute for Health Research (IIS Aragon), Zaragoza, Spain.

出版信息

Jpn J Ophthalmol. 2018 Mar;62(2):209-215. doi: 10.1007/s10384-017-0548-3. Epub 2017 Nov 29.

Abstract

PURPOSE

To evaluate several anterior chamber parameters in healthy young adults using spectral-domain optical coherence tomography and to describe the repeatability and reproducibility of this method.

STUDY DESIGN

Prospective clinical study.

METHODS

Fifty-two eyes of 52 healthy volunteers were enrolled. Manual measurements of the anterior chamber angle (ACA and ACA), angle opening distance (AOD and AOD), angle-to-angle distance (ATA), anterior chamber width (ACW), and lens vault (LV) were obtained.

RESULTS

The mean nasal ACA was 44.87 ± 12.92°; ACA, 43.94 ± 10.41°; AOD, 672.54 ± 270.19 µm; AOD 881.87 ± 290.55 µm. The mean temporal ACA was 41.46 ± 11.20°; ACA, 41.27 ± 11.31°; AOD, 603.15 ± 232.28 µm; AOD 823.46 ± 308.76 µm. The differences between the corresponding nasal and temporal parameters were statistically significant. The ACW was 11.97 ± 0.42 mm, the ATA was 12.10 ± 0.43 mm, and the LV was 3.71 ± 232.93 µm. The ACA was highly associated with the LV. The intraclass correlation coefficients ranged from 0.984 to 0.999 for the intraobserver repeatability and from 0.966 to 0.998 for the interobserver reproducibility.

CONCLUSIONS

This study assessed anterior chamber parameters in healthy young adults using spectral-domain optical coherence tomography. This technique reveals the spatial relationships of the ocular structures, provides high-resolution images, and results in high degrees of intraobserver and interobserver repeatabilities.

摘要

目的

使用光谱域光学相干断层扫描技术评估健康年轻成年人的几个前房参数,并描述该方法的可重复性和再现性。

研究设计

前瞻性临床研究。

方法

纳入52名健康志愿者的52只眼。对前房角(ACA和ACA)、角开放距离(AOD和AOD)、角对角距离(ATA)、前房宽度(ACW)和晶状体拱顶(LV)进行手动测量。

结果

鼻侧平均ACA为44.87±12.92°;ACA为43.94±10.41°;AOD为672.54±270.19μm;AOD 881.87±290.55μm。相应的鼻侧和颞侧参数之间的差异具有统计学意义。ACW为11.97±0.42mm,ATA为12.10±0.43mm,LV为3.71±232.93μm。ACA与LV高度相关。观察者内重复性的组内相关系数范围为0.984至0.999,观察者间再现性的组内相关系数范围为0.966至0.998。

结论

本研究使用光谱域光学相干断层扫描技术评估了健康年轻成年人的前房参数。该技术揭示了眼内结构的空间关系,提供高分辨率图像,并具有高度的观察者内和观察者间重复性。

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