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早期正常眼压性和高眼压性假性剥脱性青光眼在光学相干断层扫描(OCT)和光学相干断层扫描血管造影(OCTA)检查模式上的差异

The Differences in the Pattern of OCT and OCTA Examinations between Early Normal- and High-Tension Pseudoexfoliative Glaucoma.

作者信息

Łukasik Urszula, Wróbel-Dudzińska Dominika, Jarecki Jaromir, Gasińska Karolina, Żarnowski Tomasz, Święch Anna, Kosior-Jarecka Ewa

机构信息

Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, Chmielna Str. 1, 20-079 Lublin, Poland.

Department of Rehabilitation and Orthopaedics, Medical University of Lublin, 20-079 Lublin, Poland.

出版信息

J Clin Med. 2023 Jul 26;12(15):4899. doi: 10.3390/jcm12154899.

Abstract

The aim of this study was to compare the results of optical coherence tomography angiography (OCTA) and optical coherence tomography (OCT) examinations in patients with normal-tension glaucoma (NTG) in comparison to high-tension pseudoexfoliative glaucoma (HTG) patients at the early stage of glaucoma. The studied groups consisted of patients in the early stage of NTG (70 eyes) and the early stage of HTG (71 eyes). In NTG and HTG groups, a detailed ophthalmic examination was performed. Optic disc OCT with peripapillary RNFL measurements and OCTA examination with the evaluation of the macula and optic disc were performed for all participants using Zeiss Cirrus 5000. NTG and HTG groups were statistically similar as far as the MD was concerned, and both groups had early glaucoma. When evaluating the RNFL thickness, the only statistical difference between early NTG and HTG was observed in the thicknesses in the temporal sector of peripapillary RNFL, with thinner values in the NTG group (53.94 vs. 59.94, = 0.0071). When the OCTA results of the macula and optic disc were evaluated, there were no statistical differences between early NTG and HTG. The vascular density and flow parameters assessed in OCTA were equal between early NTG and HTG, and therefore the involvement of vascular factors in NTG pathogenesis could not be confirmed. Our results confirm the preponderance of more frequent temporal RNFL involvement in early NTG.

摘要

本研究的目的是比较正常眼压性青光眼(NTG)患者与高眼压性剥脱性青光眼(HTG)患者青光眼早期阶段光学相干断层扫描血管造影(OCTA)和光学相干断层扫描(OCT)检查的结果。研究组包括NTG早期患者(70只眼)和HTG早期患者(71只眼)。在NTG组和HTG组中,均进行了详细的眼科检查。使用蔡司Cirrus 5000对所有参与者进行了带视乳头周围视网膜神经纤维层(RNFL)测量的视盘OCT以及黄斑和视盘评估的OCTA检查。就平均偏差(MD)而言,NTG组和HTG组在统计学上相似,且两组均为早期青光眼。在评估RNFL厚度时,早期NTG和HTG之间唯一的统计学差异出现在视乳头周围RNFL颞侧扇形区域的厚度上,NTG组的值更薄(53.94对59.94, = 0.0071)。在评估黄斑和视盘的OCTA结果时,早期NTG和HTG之间没有统计学差异。OCTA评估的血管密度和血流参数在早期NTG和HTG之间相等,因此无法证实血管因素参与NTG的发病机制。我们的结果证实了早期NTG中颞侧RNFL受累更常见的优势。

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