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微视野检查在监测白塞氏葡萄膜炎患者的视觉功能方面是否有作用?

Does microperimetry have a role in monitoring visual function in patients with Behçet uveitis?

作者信息

Değirmenci Mehmet Fatih Kağan, Yalçındağ F Nilüfer

机构信息

Department of Ophthalmology, Ankara Ulucanlar Eye Training and Research Hospital, Ankara, Turkey.

Department of Ophthalmology, Faculty of Medicine, Ankara University, Ankara, Turkey.

出版信息

BMC Ophthalmol. 2024 Dec 18;24(1):540. doi: 10.1186/s12886-024-03805-y.

Abstract

BACKGROUND

To evaluate the change in time in visual acuity, central macular thickness (CMT), and microperimetry (MP) findings in Behçet uveitis (BU) patients who were in remission with maintenance therapy.

METHODS

This single center, retrospective, observational cohort study included twenty-five eyes of 25 patients with BU who were in remission during maintenance therapy. Best corrected visual acuity (BCVA), CMT, macular integrity index, average threshold, and fixation stabilities (P1 and P2) evaluated at six-month intervals were recorded. The changes in time were statistically analyzed. Paired samples t-test was used for normally distributed data and Wilcoxon rank test was performed for non-normally distributed data.

RESULTS

The mean BCVA and CMT showed no significant changes after six months. Although the mean macular integrity index decreased and the mean fixation stabilities increased after six months, these findings were not statistically significant. The mean average threshold was 16.8 dB at baseline and it increased significantly to 19.3 dB in the sixth month (p < 0.001).

CONCLUSIONS

The results of our study suggest that although visual acuity and CMT showed no change in patients with Behçet uveitis receiving maintenance therapy, MP could detect an improvement in macular function.

摘要

背景

评估接受维持治疗处于缓解期的白塞氏葡萄膜炎(BU)患者的视力、中心黄斑厚度(CMT)及微视野检查(MP)结果随时间的变化情况。

方法

这项单中心、回顾性、观察性队列研究纳入了25例接受维持治疗且处于缓解期的BU患者的25只眼。记录每隔6个月评估的最佳矫正视力(BCVA)、CMT、黄斑完整性指数、平均阈值及注视稳定性(P1和P2)。对随时间的变化进行统计学分析。对正态分布数据采用配对样本t检验,对非正态分布数据采用Wilcoxon秩和检验。

结果

6个月后,平均BCVA和CMT无显著变化。尽管6个月后平均黄斑完整性指数降低,平均注视稳定性增加,但这些结果无统计学意义。基线时平均平均阈值为16.8 dB,在第6个月显著增至19.3 dB(p < 0.001)。

结论

我们的研究结果表明,尽管接受维持治疗的白塞氏葡萄膜炎患者的视力和CMT无变化,但MP可检测到黄斑功能有所改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83c0/11657750/fcd00fbe2774/12886_2024_3805_Fig1_HTML.jpg

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