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白内障超声乳化术后脉络膜和黄斑厚度图的变化

Variations in Choroidal and Macular Thickness Maps after Uneventful Phacoemulsification.

作者信息

Abdellatif Mona Kamal, Ebeid Weam Mohamed

机构信息

a Department of Ophthalmology, Faculty of Medicine , Ain Shams University , Cairo , Egypt.

出版信息

Semin Ophthalmol. 2018;33(5):719-725. doi: 10.1080/08820538.2017.1417453. Epub 2017 Dec 18.

Abstract

OBJECTIVE

To investigate changes in retinal and choroidal thickness maps following uncomplicated phacoemulsification using enhanced depth imaging optical coherence tomography (EDI-OCT).

METHODS

A prospective study was done on 66 eyes. EDI-OCT was performed preoperative, 1 week, 1 month, and 3 months postoperative measuring retinal and choroidal thickness at the fovea and the 9 ETDRS subfields.

RESULTS

Subfoveal choroidal thickness (SFCT) showed statistically insignificant increase after 1 week (‎‎P = 0.473), but the increase was statistically significant after 1 month (P = 0.014). However, after 3 months, there was non-significant difference from baseline (P = 0.073). Foveal retinal thickness (FT) demonstrated statistically insignificant increase after 1 week (P = 0.094), but statistically significant increase was noted after 1 and 3 months (P = 0.000).

CONCLUSION

Uneventful phaco induced statistically significant increases in FT and SFCT from the first postoperative month; however, 3 months postoperative the increase in retinal thickness was maintained but the increase in choroidal thickness became statistically insignificant.

摘要

目的

使用增强深度成像光学相干断层扫描(EDI-OCT)研究单纯白内障超声乳化术后视网膜和脉络膜厚度图的变化。

方法

对66只眼进行前瞻性研究。在术前、术后1周、1个月和3个月进行EDI-OCT检查,测量黄斑中心凹和9个早期糖尿病性视网膜病变研究(ETDRS)子区域的视网膜和脉络膜厚度。

结果

黄斑中心凹下脉络膜厚度(SFCT)在术后1周增加,但差异无统计学意义(P = 0.473),而在术后1个月增加有统计学意义(P = 0.014)。然而,术后3个月与基线相比差异无统计学意义(P = 0.073)。黄斑视网膜厚度(FT)在术后1周增加,但差异无统计学意义(P = 0.094),而在术后1个月和3个月增加有统计学意义(P = 0.000)。

结论

单纯白内障超声乳化术后,从术后第一个月起FT和SFCT有统计学意义的增加;然而,术后3个月,视网膜厚度的增加得以维持,但脉络膜厚度的增加差异无统计学意义。

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