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[使用地形激光扫描系统分析糖尿病性视神经病变]

[Analysis of diabetic optic neuropathy with a topographic laser scanning system].

作者信息

Chihara E, Zhang S

机构信息

Sensho-kai Eye Institute, Uji-shi, Kyoto-fu, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 1998 Jul;102(7):431-5.

PMID:9720364
Abstract

Optic disc topography was done with a 3-dimensional scanning laser ophthalmoscope in 53 eyes of 53 diabetic patients and compared with that of 34 control eyes. In diabetic eyes, the parameters for contour variation of the optic nerve head was significantly greater than in control eyes. The cup of the disc, on the other hand, did not increase or decrease in diabetic eyes. The area of the neuroretinal rim area, and the tissue volume of the neuroretinal rim area was increased in eyes with pre-proliferative retinopathy, and proliferative retinopathy, respectively. The cup of the disc was not enlarged in diabetic eyes in spite of discrete signs of retinal nerve fiber layer defects. Topographic features of eyes with diabetic optic neuropathy were very different from those with glaucomatous optic neuropathy in spite of the similar appearance of retinal nerve fiber layer defects.

摘要

使用三维扫描激光检眼镜对53例糖尿病患者的53只眼睛进行视盘地形图检查,并与34只对照眼进行比较。在糖尿病眼中,视神经乳头轮廓变化的参数显著大于对照眼。另一方面,糖尿病眼的视杯没有增大或减小。分别在增殖前期视网膜病变和增殖性视网膜病变的眼中,神经视网膜边缘区域的面积和神经视网膜边缘区域的组织体积增加。尽管存在视网膜神经纤维层缺损的离散迹象,但糖尿病眼的视杯并未扩大。尽管糖尿病性视神经病变和青光眼性视神经病变的视网膜神经纤维层缺损外观相似,但其眼部的地形图特征却截然不同。

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