高度近视脉络膜新生血管患者的黄斑区脉络膜厚度分析
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Analysis on macular choroidal thickness of patients with myopic choroidal neovascularization
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    摘要:

    目的:通过频域OCT观察高度近视继发的脉络膜新生血管(myopic choroidal neovascularization, mCNV)患者脉络膜厚度的特点及其与眼轴、屈光度的关系。

    方法:纳入2010-10/2014-12于北京安贞医院确诊为单眼mCNV的患者30例。采用频域光学相干断层扫描(SD-OCT),分别测量患眼与健眼黄斑中心凹下及其上方、下方、鼻侧、颞侧各1.5mm处的脉络膜厚度(SFCT,SCT1.5mm,ICT1.5mm,NCT1.5mm,TCT1.5mm)。屈光度、眼轴长度、黄斑中心凹下及不同位点的脉络膜厚度差异比较采用配对t检验。采用Logistic回归分析屈光度、眼轴长度、不同位点的脉络膜厚度与mCNV的关系。

    结果:mCNV患眼与对侧健眼相比,眼轴长度与等效球镜度数的差异无统计学意义(P>0.05)。mCNV眼的ICT1.5mm变薄(140.85±33.46μm),与对侧眼相比(168.95±45.36μm),差异有统计学意义(P=0.008)。Logistic回归分析显示,ICT1.5mm变薄是mCNV的危险因素(OR=2.12; 95%CI:1.35~3.28; P=0.02)。

    结论:ICT1.5mm变薄可能是mCNV发生的危险因素。

    Abstract:

    AIM: To examine choroidal thickness and its relationship with axial length and spherical equivalent by spectral domain optical coherence tomography(SD-OCT)in patients with myopic choroidal neovascularization(mCNV).

    METHODS: We prospectively recruited 30 cases of mCNV in Beijing Anzhen Hospital from October 2010 to December 2014. SD-OCT was used to measure choroidal thickness subfoveally and at 1.5mm superiorly, inferiorly, nasally and temporally(SFCT, SCT1.5mm, ICT1.5mm, NCT1.5mm, TCT1.5mm). Paired t-test was conducted to assess the difference of spherical equivalent, axial length and choroidal thickness between mCNV group and controls. Logistic regression analysis was performed to evaluate the correlation between spherical equivalent, axial length, choroidal thickness and mCNV.

    RESULTS: The difference of spherical equivalent and axial length between mCNV group and controls was not significant(P>0.05). Inferior was decreased in mCNV group compared with controls(140.85±33.46μm vs 168.95±45.36μm). The difference was significant(P=0.008). Logistic regression demonstrated that decreased choroidal thickness(ICT1.5mm)at inferior location was associated with mCNV(OR=2.12; 95%CI 1.35~3.28; P=0.02).

    CONCLUSION: The decrease of ICT1.5MM may be one of the risk factors of mCNV.

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邱岩,王宗华,张惠敏,等.高度近视脉络膜新生血管患者的黄斑区脉络膜厚度分析.国际眼科杂志, 2015,15(5):906-908.

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  • 收稿日期:2015-01-21
  • 最后修改日期:2015-04-24
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  • 在线发布日期: 2015-05-05
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