三维相干光学断层扫描评估准分子激光原位角膜磨镶术对视网膜神经纤维层厚度的影响
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2011年宁夏自治区卫生厅医疗卫生科研计划项目(No.2011039)


Assessment of the change of retinal nerve fiber layer thickness after laser in situ keratomileusis by three dimensional frequency domain optical coherent tomography
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Medical Scientific Research Projects of Ningxia Autonomous Region Health Department in 2011, China(No. 2011039)

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    摘要:

    目的:利用频域三维相干光学断层扫描(three dimensional frequency domain coherent optical tomography,3D-OCT)评估准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)对视网膜神经纤维层厚度(retinal nerve fibre layer thickness,RNFLT)的影响。

    方法:对83例83右眼接受LASIK治疗的受试者分别于术前及术后1d; 1wk; 1,3mo行3D-OCT检查,测量视乳头上方、下方、鼻侧、颞侧及12个钟点位RNFLT,利用重复测量方差分析及配对t检验对术前及术后的数据统计学处理。

    结果:术前及术后各时间点行重复测量方差分析显示,视乳头下方、颞侧、5:00~11:00位RNFLT均值无显著差异(P>0.05),而视乳头上方、鼻侧、1:00~4:00位、12:00位RNFLT有显著差异(P<0.05); 进一步对术前及术后各时间点视乳头上方、鼻侧、1:00~4:00位、12:00位RNFLT分别行配对t检验得出,术后1d时视乳头上方、鼻侧及1:00~4:00位、12:00位RNFLT较术前变薄,差异有统计学意义(P<0.05),术后1wk; 1,3mo时以上各方位RNFLT较术前比较均无统计学差异(P>0.05)。同时表明RNFLT变薄与屈光度及激光时间成正相关。

    结论:LASIK术后早期上方及鼻侧RNFLT变薄,但术后1wk恢复至正常水平,LASIK手术对RNFLT无长远影响。

    Abstract:

    AIM: To evaluate the change of retinal nerve fiber layer thickness(RNFLT)after laser in situ keratomileusis(LASIK)by three dimensional frequency domain optical coherent tomography(3D-OCT).

    METHODS:Eighty-three patients(83 right eyes)who underwent LASIK operation were recruited. RNFLT was performed by 3D-OCT preoperatively and 1 day, 1 week, 1 month and 3 months postoperatively. The data was analyzed with repeated measures ANOVA and paired t test.

    RESULTS: After the comparisons of the RNFL thickness among different time points, we found no statistical differences excluding the RNFLT of superior, nasal and 12, 1-4 o'clock sectors through the repeated measures with ANOVA.Then using paired t test for further analysis, the difference was not remained in the follow-up observation. There was also a significant correlation between RNFLT and diopter(superior r=-0.316, P=0.004; nasal r=-0.456, P<0.001)and laser cutting time(superior r=0.341, P=0.002; nasal r=0.471, P<0.001), but no significant correlation between RNFLT and age and suction time.

    CONCLUSION: There is no change of RNFLT after LASIK during the follow-up.

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杨学秋,赵静静,庄文娟.三维相干光学断层扫描评估准分子激光原位角膜磨镶术对视网膜神经纤维层厚度的影响.国际眼科杂志, 2013,13(7):1395-1398.

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  • 收稿日期:2013-02-28
  • 最后修改日期:2013-06-26
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  • 在线发布日期: 2013-07-01
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