在高度近视眼中,不同年龄段的葡萄状瘤边缘的特征和患病率
Changyu Chen1, Ziye Wang1, Shiqi Xie1,2
1Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.
Investigative ophthalmology & visual science
|January 18, 2024
概括
高度近视的眼睛的稳瘤边缘因年龄而异,随着时间的推移而变化. 老年人患病率较高,边缘位置明显,突起增加,可能导致并发症.
科学领域:
- 眼科医生 眼科 眼科
- 医疗成像医学成像
- 视网膜疾病 视网膜疾病
背景情况:
- 高近视是各种眼部病理的重要危险因素.
- 脊柱瘤,后外囊,在高近视症中很常见,并可能导致视力威胁的并发症.
- 了解葡萄瘤边缘的特征和进展对于管理高近视至关重要.
研究的目的:
- 在高度近视的眼睛中表征稳形瘤边缘的特征.
- 为了调查与年龄相关的患病率和稳形瘤边缘的位置.
- 为了确定葡萄瘤边缘随着时间的推移的进展模式.
主要方法:
- 对256名高近视患者 (447只眼睛) 的截面和纵向分析.
- 超广场扫描源光学连贯性断层扫描 (OCT) 用于树突瘤边缘分析.
- 根据位置 (鼻至视盘,上/下/至斑点) 和年龄组 (儿童,青少年,成熟,老年人) 分类稳形瘤边缘.
主要成果:
- 稳形瘤的患病率随着年龄的增长而增加,在老年人 (51.35%) 和成熟 (42.49%) 群体中最高.
- 边缘位置因年龄而异:成熟/老年人的上斑,儿童/青少年的鼻光盘.
- 在随访期间,主要在成熟群体中观察到新的葡萄瘤边缘和突起的增加.
结论:
- 年龄显著影响高近视症中稳形瘤边缘的流行率和位置.
- 葡萄瘤边缘显示出明显的进展模式,随着时间的推移,突起增加.
- 特定的树突瘤边缘位置与近视力引性巨病相关,突出了它们在 fundus 并发症中的作用.
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