Department of Ophthalmology, Daping Hospital, Army Medical Center, Army Medical University, No. 10, Changjiang Branch, Daping, Yuzhong District, Chongqing 400042, China.
Comput Math Methods Med. 2022 Jun 15;2022:9409749. doi: 10.1155/2022/9409749. eCollection 2022.
The aim of this study was to investigate the characteristics of macular and optic disc parameters in children with amblyopic and nonamblyopic eyes, using fundus images under optical coherence tomography (OCT). 36 patients with anisometropic amblyopia were selected in the experimental group, and another 36 healthy volunteers were selected in the control group, OCT examinations were performed in all groups, and the mean diopter, mean corrected visual acuity (CVA), mean axial length, mean optic disc retinal nerve fiber layer (RNFL) thickness, and mean macular fovea thickness were recorded in the two groups. The results found that the average diopter of the patients in the control group and the experimental group was +2.30 ± 2.54 D and +5.51 ± 1.76 D, respectively. The average CVA was 0.86 ± 0.07 and 0.22 ± 0.16, respectively; the average eye axial length was 22.41 ± 1.20 mm and 21.11 ± 0.78 mm, respectively. As < 0.05, the differences were statistically significant in the three indicators between the two groups. There was no significant difference between the two groups in the average thickness of the RNFL of the optic disc and the average thickness of the central fovea of macula ( > 0.05). There was some correlation among CVA, diopter, eye axial length, RNFL thickness, and average thickness of macular fovea, but the correlation was not significant. It was suggested that there were certain differences in the macular and optic disc parameters between amblyopic and nonamblyopic children, but the difference is little. Thereout, a certain objective basis was provided for the early detection and treatment of amblyopia.
本研究旨在通过光学相干断层扫描(OCT)眼底图像,探讨弱视眼和非弱视儿童的黄斑和视盘参数特征。实验组选择了 36 例屈光不正性弱视患者,对照组选择了 36 例健康志愿者,对所有组进行 OCT 检查,记录两组患者的平均屈光度、平均矫正视力(CVA)、平均眼轴长度、平均视盘视网膜神经纤维层(RNFL)厚度和平均黄斑中央凹厚度。结果发现,对照组和实验组患者的平均屈光度分别为+2.30±2.54 D 和+5.51±1.76 D。平均 CVA 分别为 0.86±0.07 和 0.22±0.16;平均眼轴长度分别为 22.41±1.20 mm 和 21.11±0.78 mm。差异均有统计学意义( < 0.05)。两组患者视盘 RNFL 平均厚度和黄斑中央凹平均厚度差异无统计学意义( > 0.05)。CVA、屈光度、眼轴长度、RNFL 厚度和黄斑中央凹平均厚度之间存在一定相关性,但相关性不显著。这表明弱视儿童和非弱视儿童的黄斑和视盘参数存在一定差异,但差异较小。为弱视的早期发现和治疗提供了一定的客观依据。