中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
Chinese Journal of Practical Ophthalmology
2015年
10期
1092-1096
,共5页
近视%睫状体%前节OCT
近視%睫狀體%前節OCT
근시%첩상체%전절OCT
Myopia%Ciliary body%Anterior segment OCT
目的 探讨儿童眼睫状体不同部位厚度与近视关系及其在调节中的变化.方法 采用前瞻性队列研究.选择2011年12月至2013年12月在济南眼科医院就诊的正视及近视儿童共120只眼,行验光、前节OCT观察调节前后睫状体及临近区域厚度及位置变化,记录巩膜突后1、2、3 mm(CMT1、2、3)垂直于巩膜内表面的睫状体厚度及睫状体最大厚度,比较调节松弛状态下不同屈光度眼睫状体厚度,以及调节痉挛状态睫状体厚度改变.结果 CMT2、CMT3在正视组、低中度近视组、高度近视组依次增大,分别为(545.08±78.62)、(567.26±89.71)、(597.1±75.57) μm和(293.83±68.79)、(321.26±79.36)、(337.37±66.57) μm (P ＜0.05),CMT1、CMTMAX高度近视组和低中度近视组高于正视组,分别为(817.43±80.04)、(811.86±75.68)、(777.45±78.87)μm和(837.27±84.76)、(831.54±74.28)、(795.58±81.11) μm,差异有统计学意义(P＜0.05),但低度近视组与高度近视组之间差异无统计学意义(P＞0.05),调节状态与非调节状态相比,各组CMT1与CMTMAX增加,CMT3减少,差异有统计学意义(P＜0.05),CMT2变化无统计学意义(P＞0.05).结论 近视患儿的睫状体厚度增加,但是高度组与中低度组睫状体厚度增加的形态不同,提示睫状体厚度与近视形成有密切关系.
目的 探討兒童眼睫狀體不同部位厚度與近視關繫及其在調節中的變化.方法 採用前瞻性隊列研究.選擇2011年12月至2013年12月在濟南眼科醫院就診的正視及近視兒童共120隻眼,行驗光、前節OCT觀察調節前後睫狀體及臨近區域厚度及位置變化,記錄鞏膜突後1、2、3 mm(CMT1、2、3)垂直于鞏膜內錶麵的睫狀體厚度及睫狀體最大厚度,比較調節鬆弛狀態下不同屈光度眼睫狀體厚度,以及調節痙攣狀態睫狀體厚度改變.結果 CMT2、CMT3在正視組、低中度近視組、高度近視組依次增大,分彆為(545.08±78.62)、(567.26±89.71)、(597.1±75.57) μm和(293.83±68.79)、(321.26±79.36)、(337.37±66.57) μm (P ＜0.05),CMT1、CMTMAX高度近視組和低中度近視組高于正視組,分彆為(817.43±80.04)、(811.86±75.68)、(777.45±78.87)μm和(837.27±84.76)、(831.54±74.28)、(795.58±81.11) μm,差異有統計學意義(P＜0.05),但低度近視組與高度近視組之間差異無統計學意義(P＞0.05),調節狀態與非調節狀態相比,各組CMT1與CMTMAX增加,CMT3減少,差異有統計學意義(P＜0.05),CMT2變化無統計學意義(P＞0.05).結論 近視患兒的睫狀體厚度增加,但是高度組與中低度組睫狀體厚度增加的形態不同,提示睫狀體厚度與近視形成有密切關繫.
목적 탐토인동안첩상체불동부위후도여근시관계급기재조절중적변화.방법 채용전첨성대렬연구.선택2011년12월지2013년12월재제남안과의원취진적정시급근시인동공120지안,행험광、전절OCT관찰조절전후첩상체급림근구역후도급위치변화,기록공막돌후1、2、3 mm(CMT1、2、3)수직우공막내표면적첩상체후도급첩상체최대후도,비교조절송이상태하불동굴광도안첩상체후도,이급조절경련상태첩상체후도개변.결과 CMT2、CMT3재정시조、저중도근시조、고도근시조의차증대,분별위(545.08±78.62)、(567.26±89.71)、(597.1±75.57) μm화(293.83±68.79)、(321.26±79.36)、(337.37±66.57) μm (P ＜0.05),CMT1、CMTMAX고도근시조화저중도근시조고우정시조,분별위(817.43±80.04)、(811.86±75.68)、(777.45±78.87)μm화(837.27±84.76)、(831.54±74.28)、(795.58±81.11) μm,차이유통계학의의(P＜0.05),단저도근시조여고도근시조지간차이무통계학의의(P＞0.05),조절상태여비조절상태상비,각조CMT1여CMTMAX증가,CMT3감소,차이유통계학의의(P＜0.05),CMT2변화무통계학의의(P＞0.05).결론 근시환인적첩상체후도증가,단시고도조여중저도조첩상체후도증가적형태불동,제시첩상체후도여근시형성유밀절관계.
Objective To explore the relationship between different parts of the ciliary body thickness and refractive errors and the changes in the regulation of children.Methods A prospective cohort study, choose 120 children suffered ametropic, optometry and the shape of ciliary body and adjacent areas by anterior segment OCT before and after regulate were observed, recorded vertical thickness in the ciliary body after scleral lmm, 2mm, 3rmm and the maximum thickness of the sclera ciliary body, comparing the non-adjusted state at different diopter eye ciliary body thickness, the change of thickness of the ciliary body from non-adjusted to adjust status.Results CMT2, CMT3 increasing from emmtropia group to high myopia group, the thickness are 545.08± 78.62 m, 567.26± 89.71 m, 597.1±75.57 m and 293.83±68.79 m, 321.26 ± 79.36 m, 337.37±66.57 m (P ＜ 0.05), CMT1, CMTMAX in myopia group was significantly higher than emmtropia group, the thickness were 817.43±80.04 m, 811.86± 75.68 m, 777.45±78.87 m and 837.27±84.76 m, 831.54±74.28 mj, 795.58±81.11 m (P ＜0.05), but there was no significant difference between the low myopia group and high myopia group.Compared with non-state regulation regulating state, CMTI and CMTMAX increased, CMT3 decreased (P ＜0.05), CMT2 obvious no change.Conclusions Ciliary body thickness increases in children with myopia, but at different structure in the low myopia group and high myopia group, suggesting that the myopia formation is closely related to the ciliary body thickness.
