中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2010年
1期
40-43
,共4页
病理性近视%黄斑病变%光学相干断层扫描%年龄%屈光度%矫正视力
病理性近視%黃斑病變%光學相榦斷層掃描%年齡%屈光度%矯正視力
병이성근시%황반병변%광학상간단층소묘%년령%굴광도%교정시력
Pathological Myopia%Optical Coherence Tomography%Age%Dioptre%Vision Correction
目的 探讨病理性近视黄斑病变OCT图像特征及其与年龄、屈光度、矫正视力的关系.方法 取140只眼按OCT图像特点分为7组,每组20只眼:(1)单纯性黄斑出血;(2)视网膜劈裂;(3)黄斑脉络膜新生血管膜;(4)视网膜脱离;(5)黄斑裂孔;(6)黄斑萎缩;(7)视网膜前膜.分析年龄、屈光度、矫正视力与各组黄斑病变的关系.结果 单纯性黄斑出血组平均年龄最小(31.05±14.96)岁,与各组间均有统计学意义(P<0.05).视网膜劈裂组、黄斑脉络膜新生血管膜组平均年龄分别为(48.00±16.59)岁、(52.30±10.98)岁,两组间无统计学意义,视网膜劈裂组与其余各组均有统计学意义(P<0.05).黄斑脉络膜新生血管膜组与黄斑萎缩、视网膜前膜组之间有统计学意义(P<0.05).视网膜脱离、黄斑裂孔、黄斑萎缩、视网膜前膜组四组间平均年龄无统计学意义.黄斑萎缩组屈光度最高,平均(-17.30±3.53)D,与各组均有统计学意义(P<0.05),其余各组之间无统计学意义(P>0.05).视网膜脱离组平均矫正视力最差,为0.04±0.03,与各组间有统计学意义(P<0.05).黄斑萎缩与黄斑裂孔组矫正视力较视网膜脱离组好,视网膜劈裂和视网膜前膜组矫正视力最好,平均矫正视力大于0.3.结论 病理性近视黄斑病变随年龄增加,病变类型不同;屈光度越高,病变越严重;病变类型不同,矫正视力不同.根据其OCT图像分类有助于明确病变性质、判断预后及指导治疗.
目的 探討病理性近視黃斑病變OCT圖像特徵及其與年齡、屈光度、矯正視力的關繫.方法 取140隻眼按OCT圖像特點分為7組,每組20隻眼:(1)單純性黃斑齣血;(2)視網膜劈裂;(3)黃斑脈絡膜新生血管膜;(4)視網膜脫離;(5)黃斑裂孔;(6)黃斑萎縮;(7)視網膜前膜.分析年齡、屈光度、矯正視力與各組黃斑病變的關繫.結果 單純性黃斑齣血組平均年齡最小(31.05±14.96)歲,與各組間均有統計學意義(P<0.05).視網膜劈裂組、黃斑脈絡膜新生血管膜組平均年齡分彆為(48.00±16.59)歲、(52.30±10.98)歲,兩組間無統計學意義,視網膜劈裂組與其餘各組均有統計學意義(P<0.05).黃斑脈絡膜新生血管膜組與黃斑萎縮、視網膜前膜組之間有統計學意義(P<0.05).視網膜脫離、黃斑裂孔、黃斑萎縮、視網膜前膜組四組間平均年齡無統計學意義.黃斑萎縮組屈光度最高,平均(-17.30±3.53)D,與各組均有統計學意義(P<0.05),其餘各組之間無統計學意義(P>0.05).視網膜脫離組平均矯正視力最差,為0.04±0.03,與各組間有統計學意義(P<0.05).黃斑萎縮與黃斑裂孔組矯正視力較視網膜脫離組好,視網膜劈裂和視網膜前膜組矯正視力最好,平均矯正視力大于0.3.結論 病理性近視黃斑病變隨年齡增加,病變類型不同;屈光度越高,病變越嚴重;病變類型不同,矯正視力不同.根據其OCT圖像分類有助于明確病變性質、判斷預後及指導治療.
목적 탐토병이성근시황반병변OCT도상특정급기여년령、굴광도、교정시력적관계.방법 취140지안안OCT도상특점분위7조,매조20지안:(1)단순성황반출혈;(2)시망막벽렬;(3)황반맥락막신생혈관막;(4)시망막탈리;(5)황반렬공;(6)황반위축;(7)시망막전막.분석년령、굴광도、교정시력여각조황반병변적관계.결과 단순성황반출혈조평균년령최소(31.05±14.96)세,여각조간균유통계학의의(P<0.05).시망막벽렬조、황반맥락막신생혈관막조평균년령분별위(48.00±16.59)세、(52.30±10.98)세,량조간무통계학의의,시망막벽렬조여기여각조균유통계학의의(P<0.05).황반맥락막신생혈관막조여황반위축、시망막전막조지간유통계학의의(P<0.05).시망막탈리、황반렬공、황반위축、시망막전막조사조간평균년령무통계학의의.황반위축조굴광도최고,평균(-17.30±3.53)D,여각조균유통계학의의(P<0.05),기여각조지간무통계학의의(P>0.05).시망막탈리조평균교정시력최차,위0.04±0.03,여각조간유통계학의의(P<0.05).황반위축여황반렬공조교정시력교시망막탈리조호,시망막벽렬화시망막전막조교정시력최호,평균교정시력대우0.3.결론 병이성근시황반병변수년령증가,병변류형불동;굴광도월고,병변월엄중;병변류형불동,교정시력불동.근거기OCT도상분류유조우명학병변성질、판단예후급지도치료.
Objective To investigate the association of the characteristics of optical coherence tomog-raphy (OCT) in pathologic myopic maculopathy with the factors relevant to the pathology, and its relationship with age, dioptre, vision correction.Methods Of 140 eyes with pathologic myopic maculopathy were divided into seven groups according to OCT characteristics, (1) simple macular hemorrhage, (2) retinal schisis, (3) macular choroidal neovascularization, (4) retinal detachment, (5) macular hole, (6) macular atrophy and (7) epiretinal membrane.The relationship between the maculopathy and age, diopter and vision correction were an-alyzed.Results The average age of the patients with simple macular hemorrhage was the youngest, 31.05 years old, which was statistically significant (P<0.05) compared with the other groups.The average age of the pa-tients suffering retinal schisis was 48 years old and the patients with macular choroidal neovascularization was 52.3 years of age, between which the difference was not statistically significant (P>0.05).The differences be-tween retinal schisis and other groups except macular choroidal neovascularization were significant.The differ-ences between macular choroidal neovascularization and macular atrophy, epiretinal membrane were signifi-cant (P<0.05).The average ages of macular hole, retinal detachment, epiretinal macular membrane and macu-lar atrophy were more than 56 years old.The differences were not significant (P>0.05).The average diopter of macular atrophy was the highest, (-17.30D).The difference was significant (P<0.05) compared with other groups.There was no significant difference detected among other groups.Patients with retinal detachment showed the worst vision correction (an average of 0.04), which was significant (P<0.05) compared to other groups.The vision correction of macular hole group and macular atrophy group was better than that of retinal detachment group.The patients in groups of retinal schisis and epiretinal membranes presented the best vision correction (more than 0.3).Conclusions The pathological macular changes in pathological myopia are differ-ent with the increase of the age.The higher is the diopter, the more severe the macular pathological change is,and the vision correction is obviously influenced by the type of macular pathological change.The classification of the pathologic myopic maculopathy by OCT is quite useful in identifying, evaluating the prognosis and guid-ing the treatments for the disease.
