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通过高分辨率光谱域光学相干断层扫描(SD-OCT)评估健康西班牙裔人群的黄斑和脉络膜厚度。

Macular and choroidal thicknesses in a healthy Hispanic population evaluated by high-definition spectral-domain optical coherence tomography (SD-OCT).

作者信息

Cortés Diana A, Roca Daniela, Navarro Pedro Iván, Rodríguez Francisco J

机构信息

Fundación Oftalmológica Nacional, Calle 50 # 13-50, Bogotá, Bogota, Colombia.

Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota, Colombia.

出版信息

Int J Retina Vitreous. 2020 Dec 7;6(1):66. doi: 10.1186/s40942-020-00270-9.

Abstract

PURPOSE

To report normal values of macular and choroidal thickness obtained from a healthy Hispanic population using Optovue (Optovue Inc, Freemont CA, USA) spectral domain optical coherence tomography (SD-OCT).

DESIGN

Observational, cross-sectional, correlation study.

METHODS

A total of 290 eyes (145 healthy subjects) were included; 69% of subjects were female. The median age was 39 ± 29 years (IQR), with a range between 18 and 89 years. The study sample was stratified into three age groups: Group 1, 18-40 years (50.3%), Group 2, 41-60 years (30.7%), and Group 3, older than 61 years (19%). Central macular, perifoveal (inner quadrants), and parafoveal (outer quadrants) thicknesses were estimated. In addition, central and peripheral choroidal thicknesses were estimated. Data analysis was performed to calculate the standardized mean difference according to the variance (Student's t-test) and its differences with Epidat 4.1.

RESULTS

Median macular central thickness was 250 ±30 µm (IQR) with Optovue. Median central choroidal thickness was 263 ± 48 µm (IQR). Median central choroidal thickness was greater than mean peripheral thickness. Macular evaluation showed a statistically significant difference in central, perifoveal, and parafoveal thicknesses, with lower values being recorded for the study sample compared with the manufacturer's data.

CONCLUSIONS

SD-OCT has become a useful tool to obtain high-resolution images of the macula and choroid. This method allows precise assessment of the retinal and choroidal layers to diagnose and follow up posterior segment diseases. We are reporting normal cut-off values of macular and choroidal thicknesses in healthy Hispanic subjects evaluated with Optovue SD-OCT as new diagnostic normal parameters for research and clinical activities.

摘要

目的

报告使用美国加利福尼亚州弗里蒙特市的Optovue公司的光谱域光学相干断层扫描(SD-OCT)从健康西班牙裔人群中获得的黄斑和脉络膜厚度的正常值。

设计

观察性、横断面、相关性研究。

方法

共纳入290只眼(145名健康受试者);69%的受试者为女性。年龄中位数为39±29岁(四分位间距),范围在18至89岁之间。研究样本分为三个年龄组:第1组,18至40岁(50.3%),第2组,41至60岁(30.7%),第3组,61岁以上(19%)。估计中心黄斑、黄斑中心凹周围(内象限)和黄斑旁(外象限)厚度。此外,估计中心和周边脉络膜厚度。进行数据分析以根据方差计算标准化平均差(学生t检验)及其与Epidat 4.1的差异。

结果

使用Optovue时,黄斑中心厚度中位数为250±30μm(四分位间距)。中心脉络膜厚度中位数为263±48μm(四分位间距)。中心脉络膜厚度大于周边平均厚度。黄斑评估显示中心、黄斑中心凹周围和黄斑旁厚度存在统计学显著差异,与制造商数据相比,研究样本记录的值较低。

结论

SD-OCT已成为获取黄斑和脉络膜高分辨率图像的有用工具。该方法允许精确评估视网膜和脉络膜层,以诊断和随访后段疾病。我们报告了使用Optovue SD-OCT评估的健康西班牙裔受试者黄斑和脉络膜厚度的正常临界值,作为研究和临床活动的新诊断正常参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47f9/7720541/3ec7d2e0e554/40942_2020_270_Fig1_HTML.jpg

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