中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
12期
1566-1569
,共4页
频域光学相干断层扫描%视网膜脱离%黄斑%视野%相关性
頻域光學相榦斷層掃描%視網膜脫離%黃斑%視野%相關性
빈역광학상간단층소묘%시망막탈리%황반%시야%상관성
Spectral domain optical coherence tomography%Retinal detachment%Macular%Visual field%Correlation
目的 探讨累及黄斑区的孔源性视网膜脱离(RRD)患者行巩膜扣带手术后频域光学相干断层扫描(OCT)检测的黄斑中心凹视网膜厚度变化及中心视野的改变.方法 临床病例分析研究.对2012年3～12月间在上海交大附属第六人民医院眼科就诊的累及黄斑区的孔源性视网膜脱离患者16例(16只眼)行巩膜外加压术.术前及术后1、3、6个月所有患者均行最佳矫正视力(BCVA)、采用Octopus101自动视野计行视野检查、应用频域OCT对黄斑区结构进行检测.观察黄斑中心凹视网膜厚度变化,分析黄斑中心凹厚度与最佳矫正视力、视野光敏感度的相关性.结果 术前与术后1、3、6个月患者黄斑中心凹厚度分别为(520.19±41.63)μm、(328.81±90.74) μm、(279.06±57.90)μ m、(261.75±47.13) μ m,术后黄斑中心凹厚度较术前明显降低差异均有统计学意义(P ＜0.05); BCVA分别为0.03±0.01、0.26±0.13、0.47±0.17、O.48±0.16,术后BCVA较术前明显提高差异均有统计学意义(P＜0.05);4°视野平均敏感度(MS)分别为(13.49±0.92)dB、(21.05±3.25) dB、(22.17±2.01)dB、(22.91±1.85) dB,术后MS较术前明显提高差异均有统计学意义(P＜0.05).术后1、3、6个月患者黄斑中心凹厚度与BCVA呈中度负相关(r=-0.731、-0.749、-0.629,P＜0.05),与MS呈高度负相关(r=-0.904、-0.885、-0.821,P＜0.05).结论 Octopus101自动视野计检测的中心4°视野MS能准确地反映RRD术后黄斑视功能,与频域OCT检测的黄斑中心凹厚度有良好相关性.
目的 探討纍及黃斑區的孔源性視網膜脫離(RRD)患者行鞏膜釦帶手術後頻域光學相榦斷層掃描(OCT)檢測的黃斑中心凹視網膜厚度變化及中心視野的改變.方法 臨床病例分析研究.對2012年3～12月間在上海交大附屬第六人民醫院眼科就診的纍及黃斑區的孔源性視網膜脫離患者16例(16隻眼)行鞏膜外加壓術.術前及術後1、3、6箇月所有患者均行最佳矯正視力(BCVA)、採用Octopus101自動視野計行視野檢查、應用頻域OCT對黃斑區結構進行檢測.觀察黃斑中心凹視網膜厚度變化,分析黃斑中心凹厚度與最佳矯正視力、視野光敏感度的相關性.結果 術前與術後1、3、6箇月患者黃斑中心凹厚度分彆為(520.19±41.63)μm、(328.81±90.74) μm、(279.06±57.90)μ m、(261.75±47.13) μ m,術後黃斑中心凹厚度較術前明顯降低差異均有統計學意義(P ＜0.05); BCVA分彆為0.03±0.01、0.26±0.13、0.47±0.17、O.48±0.16,術後BCVA較術前明顯提高差異均有統計學意義(P＜0.05);4°視野平均敏感度(MS)分彆為(13.49±0.92)dB、(21.05±3.25) dB、(22.17±2.01)dB、(22.91±1.85) dB,術後MS較術前明顯提高差異均有統計學意義(P＜0.05).術後1、3、6箇月患者黃斑中心凹厚度與BCVA呈中度負相關(r=-0.731、-0.749、-0.629,P＜0.05),與MS呈高度負相關(r=-0.904、-0.885、-0.821,P＜0.05).結論 Octopus101自動視野計檢測的中心4°視野MS能準確地反映RRD術後黃斑視功能,與頻域OCT檢測的黃斑中心凹厚度有良好相關性.
목적 탐토루급황반구적공원성시망막탈리(RRD)환자행공막구대수술후빈역광학상간단층소묘(OCT)검측적황반중심요시망막후도변화급중심시야적개변.방법 림상병례분석연구.대2012년3～12월간재상해교대부속제륙인민의원안과취진적루급황반구적공원성시망막탈리환자16례(16지안)행공막외가압술.술전급술후1、3、6개월소유환자균행최가교정시력(BCVA)、채용Octopus101자동시야계행시야검사、응용빈역OCT대황반구결구진행검측.관찰황반중심요시망막후도변화,분석황반중심요후도여최가교정시력、시야광민감도적상관성.결과 술전여술후1、3、6개월환자황반중심요후도분별위(520.19±41.63)μm、(328.81±90.74) μm、(279.06±57.90)μ m、(261.75±47.13) μ m,술후황반중심요후도교술전명현강저차이균유통계학의의(P ＜0.05); BCVA분별위0.03±0.01、0.26±0.13、0.47±0.17、O.48±0.16,술후BCVA교술전명현제고차이균유통계학의의(P＜0.05);4°시야평균민감도(MS)분별위(13.49±0.92)dB、(21.05±3.25) dB、(22.17±2.01)dB、(22.91±1.85) dB,술후MS교술전명현제고차이균유통계학의의(P＜0.05).술후1、3、6개월환자황반중심요후도여BCVA정중도부상관(r=-0.731、-0.749、-0.629,P＜0.05),여MS정고도부상관(r=-0.904、-0.885、-0.821,P＜0.05).결론 Octopus101자동시야계검측적중심4°시야MS능준학지반영RRD술후황반시공능,여빈역OCT검측적황반중심요후도유량호상관성.
Objective To explore macular foveal thickness changes measured with spectral domain optical coherence tomography (OCT) and central visual field changes in patients with rhegmatogenous retinal detachment (RRD) involving the macular area after scleral buckling surgery.Methods Sixteen patients (16 eyes) with RRD involving the macular area underwent scleral buckling surgery.Best corrected visual acuity (BCVA) check,visual field examination by using Octopusl01 automated perimetry and OCT examination for observation foveal retinal thickness were performed before and 1,3,6 months after surgery.The foveal retinal thickness was compared.The correlations between macular foveal thickness and BCVA,visual field sensitivity were analyzed.Results Preoperative and postoperative 1,3,6 months,the foveal retinal thickness were (520.19± 41.63)μm,(328.81±90.74)μm,(279.06 ±57.90)μm,(261.75± 47.13)μ m,respectively,the foveal retinal thickness after surgery decreased significantly,the differences were statistically significant (all P＜0.05); BCVA were (0.03±0.01),(0.26±0.13),(0.47±0.17),(0.48±0.16),respectively,BCVA after surgery significantly improved,the differences were statistically significant (all P ＜0.05); 4° visual field mean sensitivity (MS) were (13.49 ± 0.92)dB,(21.05±3.25)dB,(22.17±2.01)dB,(22.91±1.85) dB,respectively,MS after surgery significantly increased,the differences were statistically significant (all P＜0.05).The foveal thickness and BCVA in patients showed moderate negative correlation (r=-0.731,-0.749,-0.629,P ＜0.05),the foveal thickness and MS showed high negative correlation (r=-0.904,-0.885,-0.821,P ＜0.05) 1,3,and 6 months postoperatively.Conclusions 4° visual field MS detected by using the Octopusl01 automated perimetry can accurately reflect macular visual function RRD postoperative,there is a good correlation between foveal thickness measured with spectral domain OCT and 4° visual field MS.
