慢性青光眼和非青光眼视神经萎缩黄斑厚度的比较

发布时间：2018-12-11 20:36

【摘要】：目的对比慢性青光眼和非青光眼视神经萎缩的黄斑厚度的差异,找出两者的异同。方法选取2012年1月至2014年9月在我院门诊和住院治疗的患者为研究对象,其中慢性青光眼11例17眼为青光眼组,非青光眼视神经萎缩患者20例26眼为非青光眼组;选择同期正常老年女性23名44眼为对照组,对三组均进行黄斑区OCT 3D模式扫描,并对黄斑的平均及各方位厚度进行分析。结果黄斑厚度青光眼组为(243.76±16.93)μm,非青光眼组为(245.45±12.80)μm,对照组为(273.06±14.86)μm,青光眼组较对照组黄斑厚度下降28.58μm,非青光眼组较对照组黄斑厚度下降27.81μm(均为P0.05);黄斑中央区厚度三组无明显差异(均为P0.05);青光眼组、非青光眼组与对照组相比,黄斑内环、外环各区均有变薄,差异均有统计学意义(均为P0.05)。青光眼组与非青光眼组相比,黄斑厚度除颞外区存在差异外,其他各区数据对比差异均无统计学意义(均为P0.05)。结论慢性青光眼与非青光眼视神经萎缩患者黄斑厚度均变薄,黄斑厚度扫描并不能鉴别两者。
[Abstract]:Objective to find out the difference of macular thickness between chronic glaucoma and non-glaucoma optic atrophy. Methods from January 2012 to September 2014, 11 cases (17 eyes) of chronic glaucoma and 20 cases (26 eyes) of non-glaucoma optic nerve atrophy were selected as the study subjects, including 11 cases (17 eyes) of chronic glaucoma and 20 cases (26 eyes) of non-glaucoma optic atrophy. Forty-four eyes of 23 normal elderly women in the same period were selected as control group. The macular area OCT 3D scan was performed in all three groups, and the mean macular thickness and its azimuth thickness were analyzed. Results the macular thickness was (243.76 卤16.93) 渭 m in glaucoma group, (245.45 卤12.80) 渭 m in non-glaucoma group and (273.06 卤14.86) 渭 m in control group. The macular thickness in the non-glaucoma group was 27.81 渭 m lower than that in the control group (P0.05). There was no significant difference in the thickness of the central macular area among the three groups (P0.05); in the glaucoma group, the non-glaucoma group and the control group, the macular inner ring and the outer ring were thinned, and the difference was statistically significant (P0.05). There was no significant difference in macular thickness between glaucoma group and non-glaucoma group except temporal area (P0.05). Conclusion the macular thickness of patients with chronic glaucoma and non-glaucoma optic atrophy is thinned, and macular thickness scanning can not distinguish them.
【作者单位】：广东医学院附属医院眼科;广东医学院附属医院血管甲状腺乳腺外科;
【分类号】：R775

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