Kiciński Krzysztof, Gawęcki Maciej
Department of Ophthalmology, Pomeranian Hospitals, 84-120 Wejherowo, Poland.
Dobry Wzrok Ophthalmological Clinic, 80-822 Gdansk, Poland.
Diagnostics (Basel). 2024 May 28;14(11):1114. doi: 10.3390/diagnostics14111114.
Ultra-wide-field optical coherence tomography (UWF-OCT) has been recently introduced into clinical ophthalmological practice. To date, there are few data on the reference values of the retinal thickness (RT) and choroidal thickness (CT) measured with this technique. This study aimed to analyze the variance in RT and CT in the healthy eyes of white Caucasian patients with UWF-OCT tests performed with the largest available scan size of 23 × 20 mm. The data were analyzed with reference to the patients' age and gender and the axial length of the eyeball. The results of UWF-OCT scanning enabled us to visualize the shape of the retina and choroid in a large portion of the eyeball. Both anatomical entities became significantly thinner at the periphery. The peripheral CT was greater in the upper and temporal sectors; the RT was higher in the nasal compared to the temporal sectors. Both the choroid and retina showed a reduced thickness with age; however, the CT and RT did not show a statistically significant correlation with the axial length after adjusting for age and gender. Age-related variations in thickness were especially prominent in the choroid. The CT in UWF-OCT testing was significantly greater in females, while the RT was greater in males. UWF-OCT testing provides additional information on the anatomical structure of the retina and choroid compared to standard-field OCT.
超广角光学相干断层扫描(UWF-OCT)最近已被引入临床眼科实践。迄今为止,关于用该技术测量的视网膜厚度(RT)和脉络膜厚度(CT)的参考值的数据很少。本研究旨在通过使用最大可用扫描尺寸为23×20mm的UWF-OCT测试,分析白种人患者健康眼睛中RT和CT的差异。参考患者的年龄、性别和眼球轴长对数据进行了分析。UWF-OCT扫描结果使我们能够在大部分眼球中可视化视网膜和脉络膜的形状。这两个解剖结构在周边明显变薄。周边CT在上半部分和颞侧区域更大;RT在鼻侧比颞侧更高。脉络膜和视网膜的厚度均随年龄增长而减小;然而,在调整年龄和性别后,CT和RT与眼轴长度没有统计学上的显著相关性。厚度的年龄相关变化在脉络膜中尤为突出。UWF-OCT测试中女性的CT明显更大,而男性的RT更大。与标准视野OCT相比,UWF-OCT测试提供了关于视网膜和脉络膜解剖结构的额外信息。