Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2019 Oct;67(10):1645-1649. doi: 10.4103/ijo.IJO_56_19.
The mechanism of ocular growth eludes us and research on vitreous chamber depth (VCD) is lacking. The purpose of this study was to evaluate the role of VCD and its ratio to axial length (AL) in relation to ocular biometry.
This retrospective study of patients planned for cataract surgery was performed at a tertiary center. Data regarding AL, anterior chamber depth (ACD), lens thickness (LT), and central corneal thickness (CCT) of 640 eyes was noted. Anterior segment (AS) was measured as sum of CCT, ACD, and LT, while VCD was calculated as the difference between AL and AS. Correlation of VCD and VCD: AL with ocular biometry was the primary outcome measure. Three groups were formed on the basis of AL and Pearson correlation coefficient (R) was applied.
Mean VCD was 15.38+/-1.14 mm. Mean VCD: AL was 0.66+/-0.02. VCD had a very strong relation with AL (R = 0.9, P < 0.001) only, whereas VCD: AL had a good--strong relation with AL (R = 0.5, P < 0.001), AS (R = 0.7, P < 0.001), ACD (R = 0.3, P < 0.001), and LT (R = 0.5, P < 0.001). The relation of VCD: AL with AS was very strong across all groups (R ≤ -0.8, P < 0.001 in all groups). 85% of eyes in group with AL <22 mm had VCD: AL <0.67, conversely 85% of eyes with AL >24.5 mm had VCD: AL >0.67.
: We found VCD to have the strongest relation with AL. VCD: AL was more consistent and showed a strong relation to ocular biometry across all ALs. This suggests the possible utility of the ratio VCD: AL while evaluating ocular growth, refractive status, and myopia-related complications.
眼球生长的机制尚不清楚,关于玻璃体腔深度(VCD)的研究也很少。本研究旨在评估 VCD 及其与眼轴长度(AL)的比值在眼生物测量中的作用。
这是一项在三级中心进行的计划行白内障手术患者的回顾性研究。记录了 640 只眼的 AL、前房深度(ACD)、晶状体厚度(LT)和中央角膜厚度(CCT)的数据。前节(AS)测量为 CCT、ACD 和 LT 的总和,而 VCD 计算为 AL 与 AS 的差值。VCD 与眼生物测量的相关性是主要的观察指标。根据 AL 分为三组,并应用皮尔逊相关系数(R)。
平均 VCD 为 15.38+/-1.14mm。平均 VCD:AL 为 0.66+/-0.02。VCD 与 AL 有很强的相关性(R = 0.9,P < 0.001),而 VCD:AL 与 AL(R = 0.5,P < 0.001)、AS(R = 0.7,P < 0.001)、ACD(R = 0.3,P < 0.001)和 LT(R = 0.5,P < 0.001)有较好的相关性。在所有组中,VCD:AL 与 AS 的关系均很强(所有组中 R≤-0.8,P<0.001)。在 AL<22mm 的组中,85%的眼 VCD:AL<0.67,相反,在 AL>24.5mm 的组中,85%的眼 VCD:AL>0.67。
我们发现 VCD 与 AL 有最强的相关性。VCD:AL 在所有 AL 中更一致,与眼生物测量有很强的相关性。这表明,在评估眼球生长、屈光状态和近视相关并发症时,VCD:AL 的比值可能具有一定的应用价值。