无明显视力下降的糖尿病患者黄斑区视网膜厚度分析

目的：探讨临床无明显视力下降的糖尿病患者黄斑部平均视网膜厚度和黄斑容积变化。方法：临床收集无明显视力下降的糖尿病患者共87眼,根据糖尿病视网膜病变的国际分期,分别获得DR0期54眼和DR1期33眼。进行黄斑区光学相干断层扫描,扫描模式为512×128,记录黄斑部平均视网膜厚度及黄斑容积,并与正常人的黄斑平均视网膜厚度及黄斑容积比较。结果：在DR1期的患者中黄斑平均视网膜厚度及黄斑容积均高于DR0期组和正常对照组,且具有统计学意义,DR0期组和健康对照组此两项指标差异不具有统计学意义。结论：随着糖尿病视网膜病变加重,黄斑部视网膜厚度有增厚趋势,尽管视力无明显损害,但已经有轻度形态学改变,利用OC...

Full description

Saved in:

Bibliographic Details
Published in:	国际眼科杂志 Vol. 15; no. 1; pp. 95 - 97
Main Author:	彭晓丹沈洁沈炜祝丽娜柳林
Format:	Journal Article
Language:	Chinese
Published:	第二军医大学附属长海医院, 中国上海市,200433%上海交通大学医学院附属仁济医院, 中国上海市,200127%200433 中国上海市，第二军医大学附属长海医院 2015 200127 中国上海市，上海交通大学医学院附属仁济医院
Subjects:	光学相干断层扫描糖尿病黄斑 macular 糖尿病光学相干断层扫描 optical coherence tomography KEYWORDS：diabetes 黄斑
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	目的：探讨临床无明显视力下降的糖尿病患者黄斑部平均视网膜厚度和黄斑容积变化。方法：临床收集无明显视力下降的糖尿病患者共87眼,根据糖尿病视网膜病变的国际分期,分别获得DR0期54眼和DR1期33眼。进行黄斑区光学相干断层扫描,扫描模式为512×128,记录黄斑部平均视网膜厚度及黄斑容积,并与正常人的黄斑平均视网膜厚度及黄斑容积比较。结果：在DR1期的患者中黄斑平均视网膜厚度及黄斑容积均高于DR0期组和正常对照组,且具有统计学意义,DR0期组和健康对照组此两项指标差异不具有统计学意义。结论：随着糖尿病视网膜病变加重,黄斑部视网膜厚度有增厚趋势,尽管视力无明显损害,但已经有轻度形态学改变,利用OCT可更早发现糖尿病患者的黄斑区变化,为诊断和早期干预提供一定临床依据。
Bibliography:	Xiao-Dan Peng, Jie Shen , Wei Shen , Li- Na Zhu, Lin Liu （ 1.Changhai Hospital of the Second Military University, Shanghai 200433, China;2. Renji Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200127, China） 61-1419/R AIM： To evaluate macular thickness and macular volume changes in people with diabetes mellitus but no significant decrease of visual acuity.METHODS： A total of 87 eyes were collected in diabetic group. According to the international stage of diabetic retinopathy, these cases were divided into two subgroups： DR0 stage 54 eyes and DR1 stage 33 eyes. All the cases were received optical coherence tomography（ OCT） scan in macular area; the scanning model is 512×128; recording macular average thickness and macular volume,and compared with healthy subjects.RESULTS： Macular average thickness and macular volume were higher in DR1 group than those in DR0 stage and control group,and differences were having statisticalsignificance. But DR0 group and control group differences of the two indexes
ISSN:	1672-5123
DOI:	10.3980/j.issn.1672-5123.2015.1.27