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接受阈下激光光凝治疗中心性浆液性脉络膜视网膜病变患者的形态计量学分析。

Morphometric analyses in patients treated with subthreshold laser photocoagulation for central serous chorioretinopathy.

机构信息

Ulm University, Ulm, Germany.

出版信息

BMC Ophthalmol. 2022 Dec 22;22(1):504. doi: 10.1186/s12886-022-02732-0.

Abstract

BACKGROUND AND OBJECTIVE

To analyze changes in selected parameters in optical coherence tomography (OCT) after subthreshold laser coagulation (ST-LP) in patients with central serous chorioretinopathy (CSCR).

MATERIALS AND METHODS

Fifty-four eyes of 49 patients with CSCR were included in the study. Each patient underwent therapy with ST-LP with a frequency-doubled Neodym-YAG Laser and OCT imaging. In OCT the thickness of the central subfield, cube volume, average cube thickness, volume under the ETDRS grid, and average thickness under the ETDRS grid were collected.

RESULTS

Decreases in total OCT volume and central retinal subfield thickness were statistically significant (p < 0.05). Possible correlations were observed between visual acuity at V3 (3 months after ST-LP) and Baseline and between central retinal subfield thickness at V1 (4 weeks after ST-LP) and visual acuity at BL.

CONCLUSION

A decrease in retinal thickness and retinal volume could be shown after ST-LP. Central retinal subfield thickness measured by OCT could be a more sensitive measure than mean retinal thickness or macular volume for early detection of disease recurrence occurring in some patients 3 months after ST-LP.

摘要

背景与目的

分析中心性浆液性脉络膜视网膜病变(CSCR)患者经阈下激光光凝(ST-LP)治疗后光学相干断层扫描(OCT)中选定参数的变化。

材料与方法

纳入 49 例 CSCR 患者的 54 只眼。每位患者均接受倍频 Nd:YAG 激光 ST-LP 治疗,并进行 OCT 成像。在 OCT 中,收集中央子场的厚度、立方体体积、平均立方体厚度、ETDRS 网格下的体积和 ETDRS 网格下的平均厚度。

结果

总 OCT 体积和中央视网膜子场厚度的减少具有统计学意义(p<0.05)。在 ST-LP 后 3 个月的 V3 视力和基线之间以及在 ST-LP 后 4 周的 V1 中央视网膜子场厚度和 BL 视力之间观察到可能的相关性。

结论

ST-LP 后可显示视网膜厚度和视网膜体积的减少。OCT 测量的中央视网膜子场厚度可能比平均视网膜厚度或黄斑体积更能敏感地检测出一些患者在 ST-LP 后 3 个月发生的疾病复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3141/9773550/a44f7bf09850/12886_2022_2732_Fig1_HTML.jpg

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