Department of Ophthalmology, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
BMC Ophthalmol. 2021 Oct 27;21(1):382. doi: 10.1186/s12886-021-02137-5.
To observe and compare the difference in retinal thickness using optical coherence tomography (OCT) between patients with high myopia (HM) during the third trimester of pregnancy and age-matched HM non-pregnant women.
A case-control study. A total of 39 eyes from 39 HM women in the third trimester (study group) and 50 eyes of 50 age-matched non-pregnant women with HM (control group) were included. All subjects underwent SD-OCT examination. The built-in software was used to measure the retinal thickness in macular region. The data from two groups were compared using independent-samples t test.
Among the 89 subjects in this study, the mean gestational age of the study group was 35.09 ± 2.44 weeks, and the average age was 32.24 ± 3.75 years. The average age of the control group was 34.04 ± 7.19 years old. Compared with the control group, the average thickness of parafoveal area, and the average thickness of parafoveal superior, inferior, temporal quadrants of the superficial retina and the average thickness of the foveal and parafoveal of the superficial retina were significantly decreased in the study group (P < 0.05). Compared with the control group, the average thickness of all quadrants of the retina in the parafoveal area except the nasal quadrant were significantly decreased in the study group (P < 0.05).
In this observational study, the retinal thickness of patients with high myopia during the third trimester of pregnancy was thinner than that of non-pregnant women with age-matched high myopia.
利用光学相干断层扫描(OCT)观察并比较妊娠晚期高度近视(HM)患者与年龄匹配的非妊娠 HM 患者的视网膜厚度差异。
病例对照研究。共纳入 39 例 HM 孕妇(研究组)的 39 只眼和 50 例年龄匹配的非妊娠 HM 患者(对照组)的 50 只眼。所有受试者均行 SD-OCT 检查。采用内置软件测量黄斑区视网膜厚度。采用独立样本 t 检验比较两组数据。
本研究 89 例受试者中,研究组的平均孕龄为 35.09±2.44 周,平均年龄为 32.24±3.75 岁。对照组的平均年龄为 34.04±7.19 岁。与对照组相比,研究组的旁中心凹区平均厚度、浅层视网膜旁中心凹上、下、颞象限平均厚度和浅层中心凹及旁中心凹平均厚度均显著降低(P<0.05)。与对照组相比,研究组除鼻侧象限外,其他各象限的旁中心凹区视网膜平均厚度均显著降低(P<0.05)。
在本观察性研究中,妊娠晚期高度近视患者的视网膜厚度比年龄匹配的非妊娠高度近视患者薄。