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弱视患者光学相干断层扫描变化的评估

Evaluation of optical coherence tomography changes in amblyopia.

作者信息

Goyal Jawahar L, Arora Jigyasa, Gahlot Abha, Singh Divya, Sharma Neharika, Yadav Nisha

机构信息

Department of Ophthalmology, School of Medical Sciences and Research, Sharda University, Greater Noida, U.P., India.

Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

出版信息

Indian J Ophthalmol. 2025 May 1;73(5):737-740. doi: 10.4103/IJO.IJO_3040_23. Epub 2025 Apr 24.

Abstract

AIM

To study the Central Macular Thickness (CMT) and Retinal nerve fiber layer (RNFL) thickness (RNFLT) using Optical Coherence Tomography (OCT) in cases of amblyopia.

METHODS AND MATERIAL

The study was conducted on 30 patients of unilateral amblyopia having vision of less than 6/12 (30 amblyopic eyes and 30 fellow eyes) and age matched 30 eyes of normal controls aged between 5-30 years. Vision, Refraction and ophthalmological examination was done. OCT changes in macula and RNFL layer were evaluated in both eyes of each patient and controls. The data was statistically analyzed using SPSS version 22.

RESULTS

Out of 30 patients 14 were anisomyopic and 16 were anisohyperopics. The mean central macular thickness among amblyopic eyes was significantly increased (238.77±3.64 µm) a.c.t fellow eyes (218.73±4.71µm). Average retinal nerve fibre layer thickness among amblyopic eyes was significantly increased (100.50±7.70 µm) a.c.t fellow eyes (95.67±6.38) (P<0.001).

CONCLUSIONS

The eyes with unilateral anisometropic amblyopia were associated with higher Central Macular Thickness (CMT) and thicker global Retinal Nerve Fibre Layer (RNFL) when compared to normal fellow eyes.

摘要

目的

利用光学相干断层扫描(OCT)研究弱视患者的黄斑中心厚度(CMT)和视网膜神经纤维层(RNFL)厚度(RNFLT)。

方法和材料

本研究纳入30名单侧弱视患者(30只弱视眼和30只对侧眼),其视力低于6/12,年龄在5至30岁之间,同时纳入年龄匹配的30只正常对照眼。进行了视力、验光和眼科检查。评估了每位患者及对照者双眼黄斑和RNFL层的OCT变化。使用SPSS 22版对数据进行统计学分析。

结果

30例患者中,14例为屈光参差性近视,16例为屈光参差性远视。弱视眼的平均黄斑中心厚度显著增加(238.77±3.64µm),对侧眼为(218.73±4.71µm)。弱视眼的平均视网膜神经纤维层厚度显著增加(100.50±7.70µm),对侧眼为(95.67±6.38)(P<0.001)。

结论

与正常对侧眼相比,单侧屈光参差性弱视眼的黄斑中心厚度(CMT)更高,整体视网膜神经纤维层(RNFL)更厚。

相似文献

1
Evaluation of optical coherence tomography changes in amblyopia.弱视患者光学相干断层扫描变化的评估
Indian J Ophthalmol. 2025 May 1;73(5):737-740. doi: 10.4103/IJO.IJO_3040_23. Epub 2025 Apr 24.

本文引用的文献

1
Retinal nerve fiber layer thickness in amblyopia.弱视的视网膜神经纤维层厚度。
Indian J Ophthalmol. 2022 Aug;70(8):3065-3072. doi: 10.4103/ijo.IJO_2875_21.
2
Abnormal Outer Choroidal Vasculature in Amblyopia.弱视患者脉络膜外层血管异常
J Ophthalmol. 2019 Jan 10;2019:2097087. doi: 10.1155/2019/2097087. eCollection 2019.
5
9
Unilateral amblyopia: Optical coherence tomography findings.单侧弱视:光学相干断层扫描结果
Saudi J Ophthalmol. 2011 Oct;25(4):405-9. doi: 10.1016/j.sjopt.2011.06.001. Epub 2011 Jul 16.

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