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应用彩色多普勒超声评价单眼晚期盲患者健眼视网膜中央动脉血流动力学。

An Evaluation Using Colored Doppler Ultrasonography of Central Retinal Artery Hemodynamics in the Healthy Eye in Individuals With Late Monocular Blindness.

机构信息

Department of Radiology.

Department of Ophthalmology, Alanya Education and Research Hospital, Alaaddin Keykubat University, Alanya, Antalya, Turkey.

出版信息

Ultrasound Q. 2020 Sep;36(3):280-283. doi: 10.1097/RUQ.0000000000000517.

DOI:10.1097/RUQ.0000000000000517
PMID:32890331
Abstract

Structural and functional changes occur in the brain after vision losses. The purpose of the present study was to investigate central retinal artery (CRA) hemodynamics in the healthy eye of individuals developing late monocular blindness (LMB) using colored Doppler ultrasonography.The CRAs of 13 healthy eyes of 13 patients with LMB and of 13 healthy individuals as a control group were evaluated in this prospective study. Peak systolic velocity, end-diastolic velocity, mean flow velocity, systolic/diastolic velocity ratio, and resistivity and pulsatility index (RI, PI) values in the CRAs were determined using colored Doppler ultrasonography in both groups.The mean age of all the individuals examined was 39.3 ± 12.3 years, and loss of vision in the LMB patients had been present for a mean 22 ± 13.2 years. The PSH, DHS, and mean flow velocity values in the LMB group were 13.3 ± 2.5 cm/s, 3.1 ± 0.8 cm/s, and 6.5 ± 1.6 cm/s, respectively, significantly lower than in the control group at 18.6 ± 5 cm/s, 5.5 ± 2.8 cm/s, and 10 ± 3.2 cm/s (P < 0.05). The PI, RI, and systolic/diastolic velocity ratio values differences in the both group were not statistically significant (P > 0.05).In conclusion, the absence of a significant difference in RI and PI values between the 2 groups revealed that vascular resistance did not develop in the CRA hemodynamics of healthy eyes of individuals with LMB, although the low velocity values showed an increase in CRA width.

摘要

结构和功能变化发生在大脑后视力丧失。本研究的目的是探讨中央视网膜动脉(CRA)的血流动力学在健康的眼睛的个体发展晚期单眼失明(LMB)使用彩色多普勒超声。

在这项前瞻性研究中,评估了 13 例 LMB 患者的 13 只健康眼和 13 例健康个体的 CRA。使用彩色多普勒超声测定两组 CRA 的峰值收缩期速度、舒张末期速度、平均流速、收缩/舒张速度比、阻力和搏动指数(RI、PI)值。

所有受检者的平均年龄为 39.3 ± 12.3 岁,LMB 患者的视力丧失平均为 22 ± 13.2 年。LMB 组的 PSH、DHS 和平均流速值分别为 13.3 ± 2.5cm/s、3.1 ± 0.8cm/s 和 6.5 ± 1.6cm/s,明显低于对照组的 18.6 ± 5cm/s、5.5 ± 2.8cm/s 和 10 ± 3.2cm/s(P < 0.05)。两组间 PI、RI 和收缩/舒张速度比的差异无统计学意义(P > 0.05)。

总之,两组间 RI 和 PI 值无显著差异表明,尽管 CRA 宽度增加,但 LMB 患者健康眼的 CRA 血流动力学中血管阻力并未增加。

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