山东大学耳鼻喉眼学报 ›› 2023, Vol. 37 ›› Issue (3): 83-87.doi: 10.6040/j.issn.1673-3770.0.2022.528
• 论著 • 上一篇
尤冉,郭笑霄,王薇,陈曦,王艳玲
YOU Ran, GUO Xiaoxiao, WANG Wei, CHEN Xi, WANG Yanling
摘要: 目的 探讨不同类型高度近视视网膜劈裂患者脉络膜特征及临床意义。 方法 采用横断面研究。2019年1月至2022年3月于首都医科大学附属北京友谊医院眼科就诊的患者中,选取根据黄斑病变萎缩-牵拉-新生血管(atrophic, tractional, neovascular components, ATN)分型符合T0~T3级高度近视患者74例74只眼纳入研究。其中,男性20例20只眼、女性54例54只眼;平均年龄(64.3±11.2)岁;眼轴长度(axial length, AL)(29.2±2.78)mm。患者均行加强深度成像模式光学相干断层扫描。依据ATN分型将患者按照病变程度分为T0~T3级,分别为20、23、18、13只眼。获取黄斑中心凹多个部位脉络膜厚度数据,采用MATLAB软件计算该区域的脉络膜容积(macular choroidal volume, MCV)。参数间行相关性分析。组间差异比较采用单因素分析和多因素分析。 结果 T0~T3组患者MCV分别为(4.6±2.3)mm3、(3.1±1.2)mm3、(2.9±1.3)mm3、(2.1±1.1)mm3,差异有统计学意义(P=0.006)。与T0组患者相比,T1~T3组患者最佳矫正视力明显下降,AL和等效球镜绝对值明显增加,黄斑中心凹下脉络膜厚度(subfoveal choroidal thickness, SFCT)明显下降,差异均有统计学意义(P<0.05)。T1与T3组间及T2与T3组间等效球镜的差异,以及T1与T2组间及T1与T3组间SFCT和MCV的差异依赖AL和年龄,T2和T3组间SFCT和MCV的差异不依赖AL和年龄。 结论 高度近视患者随着视网膜劈裂程度加重,MCV逐步下降,MCV的变化受到AL、年龄等多种因素影响。
中图分类号:
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