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短波长自动视野计、标准自动视野计及光学相干断层扫描在显性视神经萎缩中的应用

Short Wavelength Automated Perimetry, Standard Automated Perimetry, and Optical Coherence Tomography in Dominant Optic Atrophy.

作者信息

Lombardo Marco, Cusumano Andrea, Mancino Raffaele, Aiello Francesco, Sorge Roberto Pietro, Nucci Carlo, Cesareo Massimo

机构信息

Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.

Laboratory of Biometry, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.

出版信息

J Clin Med. 2024 Mar 28;13(7):1971. doi: 10.3390/jcm13071971.

Abstract

Blue-yellow axis dyschromatopsia is well-known in Autosomal Dominant Optic Atrophy (ADOA) patients, but there were no data on the correlation between retinal structure and short-wavelength automated perimetry (SWAP) values in this pathology. In this cross-sectional case-control study, we assessed the correlation between best corrected visual acuity (BCVA), standard automated perimetry (SAP), SWAP, and optical coherence tomography (OCT) parameters of 9 ADOA patients compared with healthy controls. Correlation analysis was performed between BCVA, mean deviation, pattern standard deviation (PSD), and fovea sensitivity (FS) values and the OCT thickness of each retinal layer and the peripapillary retinal nerve fiber layer (pRNFL). The following significant and strong correlations were found: between BCVA and ganglion cell layer (GCL) and the global (G) pRNFL thicknesses; between SAP FS and GCL and the G-pRNFL thicknesses; between SWAP PSD and total retina, GCL, inner plexiform layer, inner nuclear layer, inner retinal layer and the temporal pRNFL thicknesses. We found a constant shorter duration of the SITA-SWAP compared with the SITA-STANDARD strategy. SWAP, SAP, and BCVA values provided relevant clinical information about retinal involvement in our ADOA patients. The perimetric functional parameters that seemed to correlate better with structure involvement were FS on SAP and PSD on SWAP.

摘要

蓝黄色觉轴性色觉障碍在常染色体显性遗传性视神经萎缩(ADOA)患者中较为常见,但尚无关于该病症视网膜结构与短波自动视野计(SWAP)值之间相关性的数据。在这项横断面病例对照研究中,我们评估了9例ADOA患者与健康对照者的最佳矫正视力(BCVA)、标准自动视野计(SAP)、SWAP以及光学相干断层扫描(OCT)参数之间的相关性。对BCVA、平均偏差、模式标准偏差(PSD)、中央凹敏感度(FS)值与每个视网膜层以及视乳头周围视网膜神经纤维层(pRNFL)的OCT厚度进行了相关性分析。发现了以下显著且强烈的相关性:BCVA与神经节细胞层(GCL)以及整体(G)pRNFL厚度之间;SAP FS与GCL以及G-pRNFL厚度之间;SWAP PSD与整个视网膜、GCL、内网状层、内核层、视网膜内层以及颞侧pRNFL厚度之间。我们发现与SITA-标准策略相比,SITA-SWAP的持续时间始终更短。SWAP、SAP和BCVA值为我们的ADOA患者视网膜受累情况提供了相关临床信息。在视野功能参数中,似乎与结构受累相关性更好的是SAP上的FS和SWAP上的PSD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d126/11012462/6eedcaccfed3/jcm-13-01971-g001.jpg

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