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[激光断层扫描仪与视神经乳头分析仪测量值的比较。一项临床研究]

[Comparison of the measurement values of the laser tomography scanner and optic nerve head analyzer. A clinical study].

作者信息

Maier H, Siebert M, Gramer E

机构信息

Universitäts-Augenklinik Würzburg.

出版信息

Klin Monbl Augenheilkd. 1995 Feb;206(2):107-14. doi: 10.1055/s-2008-1035413.

Abstract

INTRODUCTION

With the Laser Tomographic Scanner (LTS) and the Optic Nerve Head Analyzer (ONHA) a quantifying investigation of the optic disc is possible. Both work with different principles: The LTS receives the information about the three dimensional structure with 32 transversal cuts, taken with the confocal principle, the ONHA with simultan stereopictures, taken from a different point of view.

PATIENTS AND METHODS

We examined 36 eyes (18 patients) with the LTS and the ONHA. The aim of the study is to examine, whether there are differences in the measurement values taken with the LTS and the ONHA investigating the same optic disc.

RESULTS

  1. There are no significant differences in the measurement value of the area of the total disc and the horizontal and vertical diameter of the optic disc. 2. The measurement values of the area of the excavation and the quotient of the area of excavation to the area of the total disc are systematically greater in investigation with the LTS than in investigation with the ONHA. This is explained by the different definition of the boundary of the excavation. 3. There are significant differences in the measurement values of the volume of the excavation, the upper volume of the optic disc, and the maximum depth of the excavation. The measurement value of the volume of the excavation is systematically greater in investigation with the ONHA than in investigation with the LTS.

CONCLUSION

Measurement values of the parameters of the optic disc, which have the same definition in the LTS and the ONHA--such as the area of the total disc and the horizontal and vertical diameter of the optic disc--show no significant differences. Thus these parameters are comparable in the LTS and the ONHA.

摘要

引言

使用激光断层扫描仪(LTS)和视神经乳头分析仪(ONHA)可以对视神经乳头进行定量研究。两者的工作原理不同:LTS通过共焦原理获取32个横向切面的信息来了解三维结构,ONHA则是从不同视角拍摄同步立体图像。

患者与方法

我们使用LTS和ONHA对36只眼睛(18名患者)进行了检查。本研究的目的是检验在使用LTS和ONHA检查同一个视神经乳头时,测量值是否存在差异。

结果

  1. 视盘总面积、视盘水平和垂直直径的测量值没有显著差异。2. 与使用ONHA进行的检查相比,使用LTS进行检查时,视盘凹陷面积以及视盘凹陷面积与视盘总面积之比的测量值系统性地更高。这是由于对视盘凹陷边界的定义不同所致。3. 视盘凹陷体积、视盘上部体积以及视盘凹陷最大深度的测量值存在显著差异。与使用LTS进行的检查相比,使用ONHA进行检查时,视盘凹陷体积的测量值系统性地更高。

结论

在LTS和ONHA中定义相同的视神经乳头参数的测量值,如视盘总面积、视盘水平和垂直直径,没有显著差异。因此,这些参数在LTS和ONHA中具有可比性。

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