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纸质出版:2008
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刘莛,贺翔鸽.近视眼视网膜神经纤维层厚度与屈光因素关系的研究[J].陆军军医大学学报(原第三军医大学学报),2008,30(01):81-83.
LIU Ting,HE Xiang-ge.Influencing factors of retinal nerve fiber layer thickness in myopia[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(01):81-83.
目的 测定不同程度近视眼患者的视网膜神经纤维层厚度(retinal nerve fiber layer thickness
RNFLT),探讨其屈光度数、矫正视力和中央角膜厚度(central cornea thickness
CCT)对RNFLT可能的影响及相关性,以了解近视眼RNFLT的变化规律。 方法 随机抽取2003年7月-2005年5月在我院就诊的近视眼患者90例(90眼),根据屈光度数分为3组:低度近视组:≤-3.00 D(14眼),中度近视组:-6.00~-3.00 D(47眼),高度近视组:>-6.00 D(29眼,其中5眼>-9.00 D)。采用光学相干断层成像仪(OCT 3000,RNFLT 3.4)测定RNFLT,Pachymeter-SP-3000角膜测厚仪测定CCT,同时进行散瞳验光。 结果 3个研究组的年龄、性别、矫正视力、CCT、上下方及鼻侧RNFLT经单因素方差分析无显著性差异(P0.05);低度近视组与高度近视组的颞侧RNFLT有显著性差异(P=0.012)。各组RNFLT规律:下方>上方>颞侧>鼻侧。参数法和非参数法相关性分析结果显示:高度近视组的总体平均RNFLT与等效球镜值显著正相关(r=0.372
P=0.047),其余参数的相关性不显著(P0.05)。 结论 近视眼RNFLT存在独特的变化规律,高度近视的RNFLT受等效球镜值影响。
Objective To measure the retinal nerve fiber layer thickness (RNFLT) in myopic patients and explore the association between diopter
corrected vision
central cornea thickness (CCT) and RNFLT in myopia. Methods The present study consisted of randomly selected 90 myopic patients (90 eyes)
dividing into 3 groups according to their diopters: low myopia (≤-3.00 D
14 eyes)
moderate myopia (-6.00 to -3.00 D
47 eyes) and severe myopia (-6.00 D
29 eyes). RNFLT was measured with optical coherence tomography (OCT3000
RNFLT 3.4) and CCT with Pachymeter-SP-3000. All patients underwent mydriasis and subsequent optometry. Results Age
sex
corrected vision
CCT
superior (S)
inferior (I) and nasal (N) RNFLT had no significant difference among the 3 groups (P0.05)
but temple (T) RNFLT was of significant difference between low and severe myopia groups by ANOVA (P=0.012). The changing pattern of RNFLT in myopia follows the rule of “ISTN”. Except the average (Avg)-RNFLT had positive correlation with diopter in severe myopia group (r=0.372
P=0.047)
no significant correlation was observed in other parameters among three groups. Conclusion RNFLT in myopia measured by OCT may have its own rule. Avg-RNFLT may have positive correlation with diopter in severe myopia group.
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