结节细胞内状层稀薄与儿科乳头发疹炎视觉功能的关联
Andrew H Malem1, Arun Y Reginald2, Michael J Wan2
1Eye institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates; Department of Ophthalmology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
概括
儿科的乳头皮质会导致视力丧失. 在患有 papilledema 的儿童中,减少斑点结节细胞内形层厚度 (GCT) 与视力受损有关.
科学领域:
- 眼科医生 眼科 眼科
- 神经眼科神经眼科
- 儿科神经学 儿科神经学
背景情况:
- 乳头,通常是由增加的内压引起的,可以导致儿童的视力丧失.
- 斑点结节细胞内状层 (GCT) 是视网膜健康的关键指标.
- 了解GCT与儿科 papilledema视觉结果之间的关系对于早期检测和管理至关重要.
研究的目的:
- 为了研究斑点结节细胞内形层厚度 (GCT) 与被诊断为乳头炎症的儿科患者的视力损失之间的联系.
主要方法:
- 从2012年到2022年,对患有 papilledema 的儿科患者 (18岁以下) 的病历进行了回顾性审查.
- 收集的数据包括人口统计,腰部穿刺开口压力,病因,视力敏度,视网膜神经纤维层 (RNFL) 厚度和GCT.
- 视力损失和没有视力损失的患者之间的临床特征的比较.
主要成果:
- 总共分析了80名患者 (160只眼睛);14%的患者经历了视力损失.
- 患有视力损失的患者的腰部穿刺开口压力和初始RNFL厚度较高.
- 与没有视力损失的眼睛相比,在视力损失的眼睛中观察到明显减少的最终平均值和最小GCT.
结论:
- 最后的黄斑结节细胞内形层厚度 (GCT) 在患有乳头炎的儿童患者显著减少,他们经历视力损失.
- 在患有 papilledema 的儿童中,GCT 可能作为监测视觉功能的宝贵生物标志物.
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