近视对正常紧张性眼镜的进展的影响
Chun-Mei Hsueh1,2, Jong-Shiuan Yeh3,4,5, Jau-Der Ho1,2
1Department of Ophthalmology, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
PloS one
|June 23, 2023
概括
正常张力玻璃眼病 (NTG) 的进展与较高的眼内压力 (IOP) 和基底模式标准偏差 (PSD) 有关. 减少IOP可能会防止视野进展,特别是在高度近视性NTG患者的大PSD.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 近视研究 近视研究
背景情况:
- 正常张力玻璃眼 (NTG) 影响视神经,而没有高眼内压力 (IOP).
- 高近视性NTG眼睛的进展风险因素需要进一步调查.
- 近视眼在绿眼病评估中提出了独特的解剖学挑战.
研究的目的:
- 在接受治疗的正常血压玻璃眼 (NTG) 患者中确定玻璃眼进展的风险因素.
- 为了比较高度近视性玻璃眼 (HMG) 和非高度近视性玻璃眼 (NHG) 眼睛之间的进展.
- 为了确定特定的眼睛参数和视野恶化在NTG之间的关联.
主要方法:
- 81个NTG眼睛 (42个HMG,39个NHG) 的回顾性观察案例系列.
- 使用连续视野数据对平均3.10年的随访时间进行评估,对眼的进展进行了评估.
- 用于确定风险因素的单变量和多变量逻辑回归分析.
主要成果:
- 在45.24%的HMG眼睛和35.90%的NHG眼睛观察到进展.
- HMG组显示光盘倾斜度更大,下角黄斑厚度更薄.
- 基底模式标准偏差 (PSD) 和治疗后IOP是NTG视野进展的重要风险因素.
- 特别是在HMG子组中,PSD是进展的关键风险因素.
结论:
- 治疗后升高的IOP和高基底模式标准偏差 (PSD) 是正常张力玻璃眼中视野进展的危险因素.
- 减少内视压力对于预防视野进展至关重要,特别是在高度近视的高PSD的NTG患者中.
- 调查结果强调了监测特定参数在近视性NTG管理中的重要性.
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