中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2010年
5期
444-447
,共4页
王秀英%Son C.Huynh%Elena Rochtchina%Paul Mitchell
王秀英%Son C.Huynh%Elena Rochtchina%Paul Mitchell
왕수영%Son C.Huynh%Elena Rochtchina%Paul Mitchell
黄斑/生理学%体层摄影术,光学相干%儿童(6-12)%屈光,眼/生理学%种族关系
黃斑/生理學%體層攝影術,光學相榦%兒童(6-12)%屈光,眼/生理學%種族關繫
황반/생이학%체층섭영술,광학상간%인동(6-12)%굴광,안/생이학%충족관계
Macula lutea/ physiology%Tomography,optical coherence%Child (6-12)%Refraction,ocular/ physiology%Race relations
目的 观察正常6岁儿童黄斑厚度特征,分析其与眼轴、性别、屈光状态和种族的关系.方法 随机抽取悉尼市区34所小学中平均年龄为6岁的1543名儿童.采用光相干断层扫描(OCT)测定其黄斑中心环(CM)、内环(IM)、外环(OM)厚度,对比分析不同性别、种族儿童间黄斑厚度的差异.所有儿童均采用光学生物测量仪测定眼轴长度,自动屈光仪RK-F1测量屈光状态,分析CM、IM、OM厚度与眼轴、屈光状态的关系.结果 儿童CM、IM和OM厚度均呈正态分布,分别为193.6、264.3、236.7μm,各环之间差异有统计学意义(t=0.40,0.08,0.20;P值均＜0.05).男性CM、IM、OM厚度分别为194.2、264.9、229.0 μm,女性CM、IM、OM厚度分别为189.3、262.5、231.5μm.两者比较,男性CM和IM厚度较女性厚,差异有统计学意义(t=0.15,0.11;P值均＜0.05).白种人CM、IM、OM厚度分别为196.0、265.2、237.5μm,东亚人CM、IM、OM厚度分别为186.0、262.3、236.5μm,中东人CM、IM、OM厚度分别为193.4、263.7、233.8μm.白种人、中东人CM和IM厚度较东亚人厚,差异有统计学意义(t=0.12,0.15;P值均＜0.05),3者间OM厚度差异无统计学意义(t=0.16,P=0.6).IM和OM厚度随眼轴增长而明显变薄(P＜0.05),CM、IM和OM厚度随远视度数增加而变厚(P＜0.05).结论 正常6岁儿童的黄斑厚度呈正态分布,性别、种族,眼轴和屈光度明显影响黄斑的厚度.
目的 觀察正常6歲兒童黃斑厚度特徵,分析其與眼軸、性彆、屈光狀態和種族的關繫.方法 隨機抽取悉尼市區34所小學中平均年齡為6歲的1543名兒童.採用光相榦斷層掃描(OCT)測定其黃斑中心環(CM)、內環(IM)、外環(OM)厚度,對比分析不同性彆、種族兒童間黃斑厚度的差異.所有兒童均採用光學生物測量儀測定眼軸長度,自動屈光儀RK-F1測量屈光狀態,分析CM、IM、OM厚度與眼軸、屈光狀態的關繫.結果 兒童CM、IM和OM厚度均呈正態分佈,分彆為193.6、264.3、236.7μm,各環之間差異有統計學意義(t=0.40,0.08,0.20;P值均＜0.05).男性CM、IM、OM厚度分彆為194.2、264.9、229.0 μm,女性CM、IM、OM厚度分彆為189.3、262.5、231.5μm.兩者比較,男性CM和IM厚度較女性厚,差異有統計學意義(t=0.15,0.11;P值均＜0.05).白種人CM、IM、OM厚度分彆為196.0、265.2、237.5μm,東亞人CM、IM、OM厚度分彆為186.0、262.3、236.5μm,中東人CM、IM、OM厚度分彆為193.4、263.7、233.8μm.白種人、中東人CM和IM厚度較東亞人厚,差異有統計學意義(t=0.12,0.15;P值均＜0.05),3者間OM厚度差異無統計學意義(t=0.16,P=0.6).IM和OM厚度隨眼軸增長而明顯變薄(P＜0.05),CM、IM和OM厚度隨遠視度數增加而變厚(P＜0.05).結論 正常6歲兒童的黃斑厚度呈正態分佈,性彆、種族,眼軸和屈光度明顯影響黃斑的厚度.
목적 관찰정상6세인동황반후도특정,분석기여안축、성별、굴광상태화충족적관계.방법 수궤추취실니시구34소소학중평균년령위6세적1543명인동.채용광상간단층소묘(OCT)측정기황반중심배(CM)、내배(IM)、외배(OM)후도,대비분석불동성별、충족인동간황반후도적차이.소유인동균채용광학생물측량의측정안축장도,자동굴광의RK-F1측량굴광상태,분석CM、IM、OM후도여안축、굴광상태적관계.결과 인동CM、IM화OM후도균정정태분포,분별위193.6、264.3、236.7μm,각배지간차이유통계학의의(t=0.40,0.08,0.20;P치균＜0.05).남성CM、IM、OM후도분별위194.2、264.9、229.0 μm,녀성CM、IM、OM후도분별위189.3、262.5、231.5μm.량자비교,남성CM화IM후도교녀성후,차이유통계학의의(t=0.15,0.11;P치균＜0.05).백충인CM、IM、OM후도분별위196.0、265.2、237.5μm,동아인CM、IM、OM후도분별위186.0、262.3、236.5μm,중동인CM、IM、OM후도분별위193.4、263.7、233.8μm.백충인、중동인CM화IM후도교동아인후,차이유통계학의의(t=0.12,0.15;P치균＜0.05),3자간OM후도차이무통계학의의(t=0.16,P=0.6).IM화OM후도수안축증장이명현변박(P＜0.05),CM、IM화OM후도수원시도수증가이변후(P＜0.05).결론 정상6세인동적황반후도정정태분포,성별、충족,안축화굴광도명현영향황반적후도.
Objective To observe the distribution of macular thickness and its relationship with axial length, gender, refraction status and race in six-year-old children. Methods 1543 six-year-old children from 34 schools in Sydney were randomly selected. The thickness of center macula(CM), inner macula(IM)and outer macula (OM)were measured by optical coherence tomography (OCT), the differences of macular thickness between different genders and races were comparatively analyzed. The axial length and refraction status of all children were measured by IOL Master and autorefractor RK-F1 respectively. Results The CM, IM and OM thickness of all those six-year-old children were normally distributed,on average they were 193.6, 264.3 and 236.9 μm respectively, the differences were statistically significant (t = 0.40,0. 08,0.20;P＜0. 05). The CM,IM and OM average thickness was 194.2,264.9,229.0 μm for boys and 189.3,262.5,231.5 μm for girls respectively. CM and IM thickness of boys were thicker than those in girls(t=0. 15,0. 11;P＜0. 05). The CM, IM and OM average thickness was 196.0,265.2,237.5 μm for White kids,186.0,262.3,236.5 μm for East Asia kids and 193.4,263.7,233.8 μm for Central East kids respectively.The CM and IM thickness of White and Central East children were significantly thicker than East Asia children (t=0. 12,0.15; P＜0.05). There was no difference between these three races in OM thickness(t=0. 16,P=0.6). The IM and OM were thinner with longer axial length (P＜0. 05). The CM,IM and OM thickness was thicker with higher hyperopic degrees (P ＜0. 05). Conclusions Macular thickness was normally distributed in six-year-old children and was significantly affected by gender, race, axial length and refraction status.
