Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Department of Ophthalmology, Seoul National University Hospital, Seoul, Republic of Korea.
Sci Rep. 2022 Oct 4;12(1):16561. doi: 10.1038/s41598-022-20372-8.
Little is known about the myopic characteristics of lamina cribrosa (LC) curvature. As such, we investigated nasal and temporal LC curvatures in myopia. In this retrospective, cross-sectional study, 144 myopic eyes (refraction < - 2D) and 88 non-myopic eyes (refraction > - 0.5D) underwent swept-source optical coherence tomography scanning of the LC. The anterior border of LC curvature was delineated with 17 points and interpolated with the "cardinal spline" curve-fitting method. The average curvature indices of the temporal and nasal sides were presented as the temporal and nasal curvatures. Myopic eyes had a mean refraction of - 6.7 ± 2.8D, while for non-myopic eyes, the value was 0.3 ± 1.0D. Nasal LC curvature was visible in 54 myopia (37.5%) and 42 non-myopia (47.7%) cases (P = 0.126), and temporal LC curvature was visible in 142 myopia (98.6%) and 68 non-myopia (77.3%) cases (P = 0.001). The nasal LC curvature was significantly larger in myopia than in non-myopia (P < 0.001). Contrastingly, the temporal LC curvature was significantly smaller in myopia than in non-myopia (P < 0.001). Axial length was associated with larger nasal LC curvature, smaller temporal LC curvature, and larger nasal-temporal LC curvature difference (all P's < 0.05). In myopic relative to non-myopic eyes, LC curvature was decreased temporally and increased nasally.
关于薄板(LC)曲率的近视特征知之甚少。因此,我们研究了近视中的鼻侧和颞侧 LC 曲率。在这项回顾性、横断面研究中,对 144 只近视眼(屈光度 < -2D)和 88 只非近视眼(屈光度 > -0.5D)进行了 LC 的扫频源光学相干断层扫描。LC 曲率的前缘用 17 个点划定,并采用“基数样条”曲线拟合方法进行插值。以颞侧和鼻侧曲率表示颞侧和鼻侧的平均曲率指数。近视眼的平均屈光度为 -6.7 ± 2.8D,而非近视眼的平均屈光度为 0.3 ± 1.0D。54 只近视眼(37.5%)和 42 只非近视眼(47.7%)可见鼻侧 LC 曲率(P = 0.126),142 只近视眼(98.6%)和 68 只非近视眼(77.3%)可见颞侧 LC 曲率(P = 0.001)。近视眼的鼻侧 LC 曲率明显大于非近视眼(P < 0.001)。相反,近视眼的颞侧 LC 曲率明显小于非近视眼(P < 0.001)。眼轴与较大的鼻侧 LC 曲率、较小的颞侧 LC 曲率和较大的鼻颞 LC 曲率差相关(均 P < 0.05)。与非近视眼相比,近视眼 LC 曲率颞侧减小,鼻侧增加。