视神经头部曲率平整与中央视野视野结膜瘤有关
Keunheung Park1, Jinmi Kim2, Jiwoong Lee3,4
1Department of Ophthalmology, Busan Medical Center, Busan 47527, Republic of Korea.
Journal of clinical medicine
|January 26, 2024
概括
新的平均曲率比 (ACR) 指数有效地测量了近视的视神经头部 (ONH) 倾斜. 平面ONH (ACR <1.0) 与较高的中央视野缺陷发病率有关.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜测量是指眼睛的测量.
- 医疗成像医学成像
背景情况:
- 视神经头部 (ONH) 形态影响视野 (VF) 完整性.
- 了解近视的ONH倾斜对于诊断视野缺陷至关重要.
研究的目的:
- 开发和验证平均曲率比 (ACR) 作为视神经头部 (ONH) 倾斜的新指数.
- 调查ONH倾斜的临床相关性,特别是ACR,与近视眼的视野缺陷有关.
主要方法:
- 开发平均曲率比 (ACR) 来量化ONH倾斜.
- 375个近视眼睛被分为平面 (ACR <1.0) 和凸 (ACR ≥1.0) 的ONH子组.
- 使用已确定的标准 (帕特拉-安德森和库克) 将子组之间的中央和外围视野缺陷发生情况进行比较.
主要成果:
- 与形ONH组相比,在平面ONH组中,中央视膜瘤的发生频率明显高 (p < 0.001使用库克标准).
- 在平面和凸的ONH组之间没有观察到外围阴影瘤的显著差异.
- ACR显示与球体等价的正相关性,但与轴长或中角膜厚度没有正相关性.
结论:
- 平均曲率比 (ACR) 是评估近视患者视神经头部 (ONH) 倾斜的可靠指标.
- ACR作为一个有价值的工具,用于估计近视期中中央视野损伤的风险和存在.
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