SD-OCT对特发性黄斑裂孔患者对侧眼中心凹组织形态的观察
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Foveal anatomical configuration in fellow eyes of patients with idiopathic macular hole by spectral-domain optical coherence tomography(the FAC study)
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    摘要:

    目的:通过频域光学相干断层扫描(spectral-domain optical coherence tomography, SD-OCT)观测特发性黄斑裂孔患者对侧眼中心凹的形态结构变化。

    方法:将50例50眼研究对象分为两组:组1为25例特发性黄斑裂孔患者,组2为25位健康人(对照组)。使用RTVue 100(Optovue, Inc., Fremont, CA, USA)的“交叉十字”SD-OCT扫描模式,对所有研究对象进行黄斑中心凹广域B型方向扫描。通过卡尺工具测量二维横断面图上中心凹的形态面积。

    结果:组1中心凹形态面积为0.159±0.03mm2,组2为0.079±0.01mm2。两组比较,差异有统计学意义(P<0.001)。 组1中有1例患者对侧眼产生黄斑裂孔。

    结论:同健康人相比,特发性黄斑裂孔患者的对侧眼中心凹形态有增大趋势。该发现结合其他的一些玻璃体黄斑的致病因素,可能导致特发性黄斑裂孔。

    Abstract:

    AIM: To evaluate anatomic foveal configuration changes in fellow eyes of patients with idiopathic macular hole using spectral-domain optical coherence tomography(SD-OCT).

    METHODS: Fifty eyes of fifty patients were studied and divided in two groups: group 1=25 patients with idiopathic macular hole and group 2=25 healthy individuals(control group). SD-OCT cross line scans were obtained using RTVue 100(Optovue, Inc., Fremont, CA, USA). The widest foveal B-scan was selected on each patient. Bi-dimensional foveal configuration was measured in mm2 using caliper tool.

    RESULTS:The mean foveal configuration in group 1 was 0.159±0.03mm2 and in group 2 was 0.079±0.01mm2. The difference between the two groups was statistically significantly(P<0.001). In group 1, one patient developed a macular hole in the fellow eye.

    CONCLUSION: Fellow eyes of patients with idiopathic macular hole tend to have an enlarged foveal configuration when compared to healthy subjects. Our finding combined with other vitreomacular risk factors may play a role in idiopathic macular hole formation.

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Andre M. V. Gomes, Thais S. Mendes, Michele M. Freitag,等. SD-OCT对特发性黄斑裂孔患者对侧眼中心凹组织形态的观察.国际眼科杂志, 2014,14(11):1917-1920.

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  • 收稿日期:2013-12-04
  • 最后修改日期:2014-08-11
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  • 在线发布日期: 2014-10-31
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