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通过广角光学相干断层扫描评估健康眼与年龄相关性黄斑变性(AMD)眼的玻璃体后脱离情况

Posterior Vitreous Detachment in Healthy Versus AMD Eyes Assessed by Widefield Optical Coherence Tomography.

作者信息

Gawęcki Maciej, Kiciński Krzysztof, Grzybowski Andrzej, Teper Sławomir

机构信息

Department of Ophthalmology of Pomeranian Hospitals, 84-120 Wejherowo, Poland.

Dobry Wzrok Ophthalmological Clinic, 80-822 Gdansk, Poland.

出版信息

Diagnostics (Basel). 2025 May 29;15(11):1382. doi: 10.3390/diagnostics15111382.

DOI:10.3390/diagnostics15111382
PMID:40506954
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12154524/
Abstract

This study aimed to determine the frequency of posterior vitreous detachment (PVD) in dry and wet age-related macular degeneration (AMD) patients compared with healthy eyes via ultrawide field optical coherence tomography (UWF-OCT). Additionally, the retinal thicknesses in the central and peripheral zones of AMD patients and the control group were compared. We included 123 eyes from 83 participants with dry AMD, 123 from 87 participants with wet AMD, and 85 from 53 healthy controls. All three study groups were compared according to age, sex, best corrected visual acuity (BCVA), PVD stage, axial length, and retinal thickness in the central, perifoveal, and peripheral zones. Additional analyses included correlations between the BCVA and PVD stage and between retinal thickness and the PVD stage. Complete separation of the vitreous from the macula was significantly more common in AMD patients than in the control group, as noted in 47 eyes (55.29%) in the control group, 92 eyes (74.80%) in the wet AMD group, and 93 eyes (75.61%) in the dry AMD group. The PVD stage did not significantly influence retinal thickness. BCVA in AMD patients did not correlate with the PVD stage. Complete PVD is more common in AMD patients than in healthy controls, as evaluated by UWF-OCT. No relationship between the PVD stage and AMD type or BCVA was observed.

摘要

本研究旨在通过超广角光学相干断层扫描(UWF-OCT)确定干性和湿性年龄相关性黄斑变性(AMD)患者与健康眼睛相比后玻璃体脱离(PVD)的发生率。此外,还比较了AMD患者和对照组中央及周边区域的视网膜厚度。我们纳入了83名干性AMD参与者的123只眼睛、87名湿性AMD参与者的123只眼睛以及53名健康对照者的85只眼睛。根据年龄、性别、最佳矫正视力(BCVA)、PVD分期、眼轴长度以及中央、黄斑旁和周边区域的视网膜厚度对所有三个研究组进行了比较。额外的分析包括BCVA与PVD分期之间以及视网膜厚度与PVD分期之间的相关性。玻璃体与黄斑完全分离在AMD患者中比在对照组中更为常见,对照组中有47只眼睛(55.29%)出现这种情况,湿性AMD组中有92只眼睛(74.80%),干性AMD组中有93只眼睛(75.61%)。PVD分期对视网膜厚度没有显著影响。AMD患者的BCVA与PVD分期无关。通过UWF-OCT评估,完全性PVD在AMD患者中比在健康对照者中更常见。未观察到PVD分期与AMD类型或BCVA之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4033/12154524/3aab00b74d37/diagnostics-15-01382-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4033/12154524/d0b2a141cba0/diagnostics-15-01382-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4033/12154524/3aab00b74d37/diagnostics-15-01382-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4033/12154524/d0b2a141cba0/diagnostics-15-01382-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4033/12154524/3aab00b74d37/diagnostics-15-01382-g002a.jpg

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