摘要
目的:分析97例学龄期单眼屈光参差性弱视患儿的频域光学相干断层扫描(SD-OCT)参数。方法:选取2019年10月至2021年6月该院收治的97例学龄期单眼屈光参差性弱视患儿进行前瞻性研究,根据不同屈光参差性弱视类型,将弱视患儿分为远视组(n=56)和近视组(n=41)。对患儿两眼进行SD-OCT检查,比较患儿双侧眼睛以及远视组和近视组组间SD-OCT参数(黄斑中心凹、内环上方、内环颞侧、内环下方、内环鼻侧、外环上方、外环颞侧、外环下方、外环鼻侧等黄斑区视网膜厚度)。结果:患侧眼内环上方、内环颞侧、内环鼻侧、外环上方、外环颞侧、外环下方等黄斑区视网膜厚度均厚于健侧眼,差异有统计学意义(P<0.05);患侧眼和健侧眼的黄斑中心凹、内环下方、外环鼻侧等黄斑区视网膜厚度比较,差异无统计学意义(P>0.05);远视组内环下方、内环鼻侧、外环上方、外环颞侧、外环下方等黄斑区视网膜厚度均薄于近视组,差异有统计学意义(P<0.05);远视组和近视组黄斑中心凹、内环上方、内环颞侧、外环鼻侧等黄斑区视网膜厚度比较,差异无统计学意义(P>0.05)。结论:学龄期单眼屈光参差性弱视患儿患侧眼内环上方、内环颞侧、内环鼻侧、外环上方、外环颞侧、外环下方等区域的SD-OCT参数水平均增高,且远视与近视患儿黄斑视网膜SD-OCT参数水平存在差异。
Objective:To analyze frequency domain optical coherence tomography(SD-OCT)parameters of 97 school-age children with monocular anisometropic amblyopia.Methods:A prospective study was conducted on 97 school-age children with monocular anisometropic amblyopia admitted to this hospital from October 2019 to June 2021.The affected eye was set as amblyopia group(n=97),and the healthy eye was set as control group(n=97).According to different types of anisometropic amblyopia,the amblyopic group was divided into hyperopia group(n=56)and myopia group(n=41).SD-OCT was performed on both eyes of these children.The SD-OCT parameters(retinal thickness levels of macular central fovea,upper side of inner ring,temporal side of inner ring,lower side of inner ring,nasal side of inner ring,upper side of outer ring,temporal side of outer ring,lower side of outer ring,nasal side of outer ring)were compared between the amblyopia group and the control group and between the hyperopia group and the myopia group.Results:The retinal thickness levels of the macular area above the inner ring,the temporal side of the inner ring,the nasal side of the inner ring,the upper side of the outer ring,the temporal side of the outer ring,and the lower side of the outer ring in the amblyopia group were thicker than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the macular retinal thickness levels of the macular central fovea,the lower side of inner ring and the nasal side of outer ring between the amblyopic group and the control group(P>0.05).The macular retinal thickness in the lower side of the inner ring,the nasal side of the inner ring,the upper side of the outer ring,the temporal side of the outer ring and the lower side of the outer ring in the hyperopia group were thinner than those in the myopia group,and the difference was statistically significant(P<0.05).There were no significant differences in the macular retinal thickness levels of the macular central fovea,the up
作者
谢元春
XIE Yuanchun(Children’s Hospital Affiliated to Zhengzhou University,Henan Children’s Hospital,Zhengzhou Children’s Hospital,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2023年第5期128-130,共3页
Medical Journal of Chinese People’s Health
关键词
学龄期
单眼
屈光参差性弱视
频域光学相干断层扫描
黄斑
视网膜厚度
School age
Monocular
Anisometropic amblyopia
Frequency domain optical coherence tomography
Macula lutea
Retinal thickness
