Asan-si Health Care Center, Chungcheongnam-do, Seoul, South Korea.
Department of Ophthalmology, Sanggye Paik Hospital, Inje University, Seoul, South Korea.
Sci Rep. 2019 Jul 25;9(1):10780. doi: 10.1038/s41598-019-47351-w.
This study aimed to characterise the distribution of choroidal thickness (CT) in diabetic retinopathy eyes, inside and outside of the vascular arcade, as well as at the fovea, using spectral-domain optical coherence tomography (OCT). Forty-nine healthy eyes, 80 diabetic retinopathy (DR) eyes (59 non-proliferative diabetic retinopathy (NPDR) eyes and 21 proliferative diabetic retinopathy (PDR) eyes) were examined with OCT to obtain nine horizontal lines (far superotemporal, near superotemporal, central, near inferotemporal, far inferotemporal, far superonasal, near superonasal, near inferonasal, far inferonasal) inside and outside of the vascular arcade. Nine points were chosen in 0.5-mm intervals to calculate CT, which was measured at 81 points in each patient. In the DR group, CT decreased significantly, compared with the control group, in all nine horizontal lines except central and near inferotemporal (-29.74 to -36.97 μm, p < 0.05 for all). In the PDR group, CT decreased compared with the NPDR group, in all nine horizontal lines (-6.18 μm to -34.58 μm), but this difference was not significant. In DR eyes, an overall significant reduction of CT was observed inside and outside of the vascular arcade; CT showed a non-significant decrease in PDR eyes, compared with NPDR eyes.
本研究旨在使用频域光相干断层扫描(OCT)描述糖尿病视网膜病变(DR)眼脉络膜厚度(CT)在血管弓内外和黄斑区的分布。对 49 只健康眼和 80 只 DR 眼(59 只非增生性糖尿病视网膜病变(NPDR)眼和 21 只增生性糖尿病视网膜病变(PDR)眼)进行 OCT 检查,以获得血管弓内外的 9 条水平线(远上方、近上方、中央、近下方、远下方、远鼻上、近鼻上、近鼻下、远鼻下)。在 0.5mm 间隔处选择 9 个点来计算 CT,每个患者测量 81 个点的 CT。与对照组相比,DR 组除中央和近下方外,所有 9 条水平线上的 CT 均显著降低(所有 P<0.05)。与 NPDR 组相比,PDR 组所有 9 条水平线上的 CT 均降低(-6.18μm 至-34.58μm),但差异无统计学意义。在 DR 眼中,血管弓内外的 CT 总体显著降低;与 NPDR 眼相比,PDR 眼的 CT 下降不明显。