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慢性原发性开角型青光眼的视盘形态测量。II. 视盘内形态测量数据与视野指标的相关性。

Optic disc morphometry in chronic primary open-angle glaucoma. II. Correlation of the intrapapillary morphometric data to visual field indices.

作者信息

Jonas J B, Gusek G C, Naumann G O

机构信息

Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg, Federal Republic of Germany.

出版信息

Graefes Arch Clin Exp Ophthalmol. 1988;226(6):531-8. doi: 10.1007/BF02169200.

Abstract

The intrapapillary morphometric data of 290 optic nerve heads of 158 patients with chronic primary open-angle glaucoma and of 253 unselected normal subjects were correlated with the visual field indices of Octopus program 32,34-Delta. Only one eye per patient was considered. Significant correlations (P less than 0.001) were revealed for the neuroretinal rim (NRR) area as a whole and in four defined disc sectors, the ratio of lower temporal to upper temporal rim area, the rim width, the optic cup area and diameters, the horizontal and vertical cup/disc (c/d) ratios, and the quotient of horizontal to vertical c/d ratio. Correlation coefficients ranged between 0.30 and 0.77. They were highest for the rim area of the inferior temporal disc sector, followed by the superior temporal, nasal, and temporal sectors. There were no correlations for the optic disc size and form. The topographic morphometry of the intrapapillary optic disc structures was unremarkable in four glaucomatous eyes with small discs.

摘要

对158例慢性原发性开角型青光眼患者的290只视神经乳头以及253例未经挑选的正常受试者的视神经乳头进行形态测量,将所得数据与Octopus程序32、34 - Delta的视野指数进行相关性分析。每位患者仅考虑一只眼睛。结果显示,整个神经视网膜边缘(NRR)区域以及四个特定视盘区域、颞下与颞上边缘区域的比例、边缘宽度、视杯面积与直径、水平和垂直杯/盘(c/d)比值以及水平与垂直c/d比值的商均存在显著相关性(P < 0.001)。相关系数在0.30至0.77之间。其中颞下视盘区域边缘面积的相关性最高,其次是颞上、鼻侧和颞侧区域。视盘大小和形态无相关性。在4只小视盘的青光眼眼中,视乳头内视盘结构的地形图形态测量无异常。

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