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患有糖尿病黄斑的患者的广场光学一致性断层扫描

Krzysztof Kiciński¹, Maciej Gawęcki^1,2

¹Department of Ophthalmology, Pomeranian Hospitals, 84-120 Wejherowo, Poland.

Journal of clinical medicine

|July 27, 2024

概括

糖尿病黄斑 (DME) 影响中部和周围视网膜厚度超过周围区域. 超广场OCT显示中央/周周变化与视力相关,而周围厚度独立于系统因素.

科学领域:

眼科医生眼科眼科
医疗成像医学成像
糖尿病学糖尿病学

背景情况:

糖尿病黄斑 (DME) 是糖尿病患者视力丧失的主要原因.
超广场光学连贯断层扫描 (UWF-OCT) 允许对视网膜和胸膜厚度 (RT和CT) 进行详细分析.
了解RT和CT的区域差异对于管理DME至关重要.

研究的目的:

在使用UWF-OCT的DME患者中分析中央,外周和外周RT和CT的变化.
评估DME中RT,CT和系统因素之间的相关性.
为了将DME患者与没有泛视网膜光凝 (PRP) 与健康对照者进行比较.

主要方法:

包括74名患有DME的成年糖尿病患者和75名健康对照.
分类为没有PRP的DME,PRP后的DME和健康的对照组.
使用UWF-OCT在中央 (3mm),外围 (9mm) 和外围 (18mm) 区域进行RT和CT的分析.

主要成果:

在DME患者中,外周视网膜厚度的增加并不显著.
在没有使用PRP的DME患者中,中部和外周的RT增加和较低的CT与视力敏度较差相关.
DME和外周RT独立于系统因素,如BMI,糖尿病持续时间和HbA1c.

结论:

与中央部门相比,外围视网膜部门受到DME厚度变化的影响较小.
由UWF-OCT评估的DME的功能和形态关联主要与中央和周边区域有关.

关键词:

冠状腺厚度冠状腺厚度糖尿病糖尿病患者糖尿病患者糖尿病黄斑胀糖尿病黄斑胀视网膜的厚度视网膜的厚度超广场光学连贯性断层扫描超广场光学连贯性断层扫描.

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