RNFL和GCC在早期慢性原发性闭角型青光眼诊断的临床意义
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Clinical evaluation of RNFL and GCC for diagnosis in early stage of chronic primary angle-closure glaucoma
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    摘要:

    目的:观察视网膜视盘周围视网膜神经纤维层(retina nerve fiber layer,RNFL)厚度和神经节细胞复合体(ganglion cell complex,GCC)厚度对慢性原发性闭角型青光眼(chronic primary angle-closure glaucoma,CPACG)的诊断价值,研究其和平均视野缺损(MD)的相关性。

    方法:选取早期CPACG患者21例38眼,疑似青光眼(suspected glaucoma, SG)患者25例46眼和正常对照25例49眼进行SD-OCT检查,测量平均及各个象限的RNFL厚度和GCC厚度,分析RNFL厚度和GCC厚度与视野MD的相关性。

    结果:CPACG组的平均和各象限RNFL厚度和GCC厚度与正常对照存在显著性差异(P<0.01),与SG组比较,平均及上方(P<0.01)、下方(P<0.05)RNFL厚度存在显著性差异,平均和各象限GCC厚度存在显著性差异(P<0.01)。CPACG组RNFL(r=0.65)、GCC(r=0.72)均与MD呈明显的正相关。

    结论:RNFL厚度和GCC厚度对早期CPACG的诊断和病情监测中具有临床价值,GCC厚度的临床意义可能更佳。

    Abstract:

    AIM:To explore the diagnosis value of retina nerve fiber layer(RNFL)and ganglion cell complex(GCC)in the early stage of chronic primary angle-closure glaucoma(CPACG), and investigate their relationship with mean defect(MD)of visual field.

    METHODS: Twenty-one patients with CPACG(38 eyes), 25 patients with suspected glaucoma(SG)(46 eyes)and 25 normal controls(49 eyes)were selected to perform SD-OCT. Statistical difference was analyzed the thickness of RNFL and GCC of average and all quadrants, and correlation between RNFL, GCC and MD of visual field.

    RESULTS:There were significant differences in average and all quadrant thickness of RNFL and GCC between CPACG group and control group(P<0.01).The significant differences were found in RNFL thickness(RNFL-Avg, P<0.01; RNFL-Sup, P<0.01; RNFL-Inf, P<0.05)and in GCC thickness(average and all quadrant thickness, P<0.01)between CPACG group and SG group. The positive correlations were showed between MD and RNFL(r=0.65), GCC(r=0.72)in CPACG group.

    CONCLUSION:RNFL and GCC are useful to diagnose and monitor the early stage of CPACG, and GCC may be more significant for the disease.

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刘是,杨建刚,邢淑惠. RNFL和GCC在早期慢性原发性闭角型青光眼诊断的临床意义.国际眼科杂志, 2015,15(8):1392-1394.

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  • 收稿日期:2015-06-17
  • 最后修改日期:2015-07-20
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  • 在线发布日期: 2015-08-05
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