国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1089-1091
,共3页
屈光参差性弱视%光学相干断层扫描仪%黄斑A1区视网膜厚度
屈光參差性弱視%光學相榦斷層掃描儀%黃斑A1區視網膜厚度
굴광삼차성약시%광학상간단층소묘의%황반A1구시망막후도
anisometropic amblyopia%optical coherent tomography%retinal thickness of macular at area A1
目的：探讨儿童屈光参差性弱视患者治疗前后黄斑A1区视网膜厚度的变化与治疗效果的相关性。<br> 方法：随机选取30例60眼屈光参差性弱视患儿作为试验组。29例58眼双眼矫正视力均正常的儿童为对照组。采用OCT-3测量试验组和对照组儿童黄斑A1区视网膜厚度,进行动态观察并行相关分析。<br> 结果：对照组黄斑A1区视网膜厚度3,6 mo时与初诊比较差异均有统计学意义；试验组又分为弱视眼组和非弱视眼组,非弱视眼组黄斑中心凹视网膜厚度3,6 mo时与初诊比较差异均有统计学意义,弱视眼组按治疗效果分为无效组、进步组、基本治愈组,无效组和进步组黄斑A1区视网膜厚度3,6 mo时与初诊比较差异均无统计学意义；基本治愈组黄斑A1区视网膜厚度3 mo与初诊比较差异无统计学意义,但6 mo与初诊比较差异有统计学意义。结论：屈光参差性弱视儿童黄斑A1区视网膜厚度在弱视治疗前后的变化与弱视治疗效果有一定关系。 OCT技术是一种客观的辅助检测方法,可为弱视的研究提供新线索。
目的：探討兒童屈光參差性弱視患者治療前後黃斑A1區視網膜厚度的變化與治療效果的相關性。<br> 方法：隨機選取30例60眼屈光參差性弱視患兒作為試驗組。29例58眼雙眼矯正視力均正常的兒童為對照組。採用OCT-3測量試驗組和對照組兒童黃斑A1區視網膜厚度,進行動態觀察併行相關分析。<br> 結果：對照組黃斑A1區視網膜厚度3,6 mo時與初診比較差異均有統計學意義；試驗組又分為弱視眼組和非弱視眼組,非弱視眼組黃斑中心凹視網膜厚度3,6 mo時與初診比較差異均有統計學意義,弱視眼組按治療效果分為無效組、進步組、基本治愈組,無效組和進步組黃斑A1區視網膜厚度3,6 mo時與初診比較差異均無統計學意義；基本治愈組黃斑A1區視網膜厚度3 mo與初診比較差異無統計學意義,但6 mo與初診比較差異有統計學意義。結論：屈光參差性弱視兒童黃斑A1區視網膜厚度在弱視治療前後的變化與弱視治療效果有一定關繫。 OCT技術是一種客觀的輔助檢測方法,可為弱視的研究提供新線索。
목적：탐토인동굴광삼차성약시환자치료전후황반A1구시망막후도적변화여치료효과적상관성。<br> 방법：수궤선취30례60안굴광삼차성약시환인작위시험조。29례58안쌍안교정시력균정상적인동위대조조。채용OCT-3측량시험조화대조조인동황반A1구시망막후도,진행동태관찰병행상관분석。<br> 결과：대조조황반A1구시망막후도3,6 mo시여초진비교차이균유통계학의의；시험조우분위약시안조화비약시안조,비약시안조황반중심요시망막후도3,6 mo시여초진비교차이균유통계학의의,약시안조안치료효과분위무효조、진보조、기본치유조,무효조화진보조황반A1구시망막후도3,6 mo시여초진비교차이균무통계학의의；기본치유조황반A1구시망막후도3 mo여초진비교차이무통계학의의,단6 mo여초진비교차이유통계학의의。결론：굴광삼차성약시인동황반A1구시망막후도재약시치료전후적변화여약시치료효과유일정관계。 OCT기술시일충객관적보조검측방법,가위약시적연구제공신선색。
AIM:To analyze relevancy between the changes of the retinal thicknesses of children's anisometropic amblyopic macular at Area A1 before and at the end of amplyopia cure and amplyopia cure effect. <br> METHODS: Through randomly selecting 30 cases ( 60 eyes) of anisometropic amblyopic children as test group and 29 cases ( 58 eyes ) of children with normal vision after the vision correction as control group, the changes of the retinal thicknesses of macular of the test group and the control group at Area A1 by OCT-3 was observed dynamically and analyzed. <br> RESULTS: Compared with first diagnosis, the comparative difference of retinal thicknesses of macular at Area A1 in control group at 3, 6mo has statistical significance. The test group was divided into amblyopia group and non-amblyopia group. There has statistical significance for the comparative difference between the retinal thicknesses of macular centre at 3, 6mo and the first diagnosis in the non - amblyopia group, the amblyopia group was divided into the invalid cure group, progress group and the cured group according to amblyopic cure effect. Compared with first diagnosis, there is no statistical significance of macular at Area A1 in invalid cure group and progress group at 3, 6mo, and in the cured group at 3mo, but in the cured group at 6mo has statistical significance. <br> CONCLUSION: There is a certain relationship between the changes of retinal thicknesses of macular of children with anisometropic amblyopic at Area A1 before and at the end of amblyopia treatment and amblyopia cure effect. OCT is a kind of objective auxiliary test method and provides new clues for amblyopia research.
