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成年人健康眼在一家三级眼科保健中心门诊就诊时的黄斑中心凹下脉络膜厚度日间变化的平均振幅。

Mean Amplitude of Diurnal Variation of Sub-Foveal Choroidal Thickness among Adults with Healthy Eyes Visiting Outpatient Department of a Tertiary Eye Care Centre.

机构信息

Department of Optometry, Nepal Eye Hospital, Tripureshwor, Kathmandu, Nepal.

Department of Ophthalmology, Nepal Eye Hospital, Tripureshwor, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2024 Feb 24;62(270):106-109. doi: 10.31729/jnma.8436.

Abstract

INTRODUCTION

The choroid, particularly the choroidal vasculature, plays an important role in the pathophysiology of various ocular diseases. Diurnal variation in the thickness of the choroid has been reported in previous studies. This study aimed to find the mean amplitude of diurnal variation of sub-foveal choroidal thickness among adults with healthy eyes visiting the outpatient Department of a tertiary eye care centre.

METHODS

A descriptive cross-sectional study was conducted among adults with healthy eyes presenting to the outpatient Department of a tertiary eye care centre from 1 February 2023 to 3 June 2023 after obtaining ethical approval from the Institutional Review Committee. After a comprehensive medical eye examination, sub-foveal choroidal thickness measurement was performed using enhanced depth imaging optical coherence tomography at the baseline and subsequent interval afterwards. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

RESULTS

Among 60 eyes, the mean amplitude of the diurnal variation of subfoveal choroidal thickness was 35.16±14.08 microns (31.59-38.72, 95% Confidence Interval). The mean amplitude for the right eye was 36.30±14.08 microns, and for the left eye, it was 34.23±14.08 microns.

CONCLUSIONS

The amplitude of diurnal variation of subfoveal choroidal thickness from this study was found to be similar to other studies done in international settings.

KEYWORDS

choroid; circadian rhythm; cross-sectional study; Ophthalmology.

摘要

简介

脉络膜,特别是脉络膜血管,在各种眼部疾病的病理生理学中起着重要作用。先前的研究报道了脉络膜厚度的昼夜变化。本研究旨在探讨在到三级眼科保健中心门诊就诊的健康眼成年人中,黄斑下脉络膜厚度的昼夜变化幅度的平均值。

方法

在获得机构审查委员会的伦理批准后,于 2023 年 2 月 1 日至 6 月 3 日期间,对到三级眼科保健中心门诊就诊的健康眼成年人进行了一项描述性的横断面研究。在进行全面的眼部医学检查后,使用增强深度成像光学相干断层扫描在基线和随后的间隔时间测量黄斑下脉络膜厚度。采用方便抽样法。在 95%置信区间内计算点估计值。

结果

在 60 只眼中,黄斑下脉络膜厚度的昼夜变化幅度的平均值为 35.16±14.08 微米(31.59-38.72,95%置信区间)。右眼的平均幅度为 36.30±14.08 微米,左眼为 34.23±14.08 微米。

结论

本研究发现,黄斑下脉络膜厚度昼夜变化幅度与国际上其他研究相似。

关键词

脉络膜;昼夜节律;横断面研究;眼科学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8194/10924515/940f0ed0d7a0/JNMA-62-270-106-g1.jpg

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