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接受重组生长激素治疗儿童的视网膜和脉络膜微血管评估:研究设计:一项前瞻性观察性比较研究。

Retinal and choroidal microvascular assessment of children receiving recombinant growth hormone therapy : Study design: a prospective observational comparative study.

作者信息

Omar Ismail, Fadle Yousra Samir, El Bakry Noura M Ibrahim

机构信息

Ophthalmology Department, Faculty of Medicine, Minia University, El-Minya, Egypt.

Pediatric Departement, Faculty of Medicine, Minia University, El-Minya, Egypt.

出版信息

Int J Retina Vitreous. 2024 Nov 22;10(1):90. doi: 10.1186/s40942-024-00610-z.

Abstract

BACKGROUND

The purpose of this study is to evaluate the retinal and choroidal microvascular state in children with congenital isolated growth hormone deficiency (IGHD) and determine the effect of recombinant human growth hormone treatment on these structures compared with healthy controls.

METHODS

The study included children with IGHD under recombinant human GH treatment as group one and another group of healthy controls. Both groups were examined using optical coherence tomography angiography (OCTA). Data concerning superficial capillary plexus (SCP), deep capillary plexus (DCP), choriocapillaris (CC), and retinal thickness were recorded.

RESULTS

The study included two equal groups of 30 individuals. Both groups had no statistically significant differences in age, gender, weight, or spherical equivalent. However, subjects of group II were taller than those of group I (p = 0.011). OCTA images of the SCP, DCP, and CC vessel density revealed statistically non-significant differences between the two groups.

CONCLUSION

Children receiving recombinant growth hormone therapy showed no changes in the retinal and choroidal microvasculature or macular thickness.

TRIAL REGISTRATION NUMBER

1094/03/2024 by Minia University Faculty of Medicine Institutional Review Board. Another registration number is UMIN000055654.

摘要

背景

本研究的目的是评估先天性孤立性生长激素缺乏症(IGHD)患儿的视网膜和脉络膜微血管状态,并确定重组人生长激素治疗对这些结构的影响,与健康对照组进行比较。

方法

本研究包括接受重组人生长激素治疗的IGHD患儿作为第一组,以及另一组健康对照组。两组均使用光学相干断层扫描血管造影(OCTA)进行检查。记录有关浅表毛细血管丛(SCP)、深层毛细血管丛(DCP)、脉络膜毛细血管(CC)和视网膜厚度的数据。

结果

本研究包括两组各30名个体。两组在年龄、性别、体重或等效球镜度数方面均无统计学显著差异。然而,第二组受试者比第一组高(p = 0.011)。SCP、DCP和CC血管密度的OCTA图像显示两组之间在统计学上无显著差异。

结论

接受重组生长激素治疗的儿童在视网膜和脉络膜微血管系统或黄斑厚度方面没有变化。

试验注册号

米尼亚大学医学院机构审查委员会的1094/03/2024。另一个注册号是UMIN000055654。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/445d/11583502/c0c4dad5133a/40942_2024_610_Fig1_HTML.jpg

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