To Investigate the Morphologic Alterations in and Around the Optic Disc by Optical Coherence Tomography (OCT) in Eyes with Different Degree of Myopia

Santosh Kumar
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Abstract

Objective: To investigate the morphologic alterations in and around the optic disc by optical coherence tomography (OCT) in eyes with different degree of myopia. Methods: This prospective study included 110 myopic subjects for evaluation of Peripapillary Retinal Nerve Fiber Layer (pRNFL) pattern in myopia. Results: In our study we observed that in SE Group 1 (-3D to -6D), the average pRNFL thickness, Mean disc area and mean CD Ratio was 87.67 μm, 1.850±0.36, 0.46±0.09 while in SE Group 2 (> -6D to -10D) it was 82.56 μm, 1.89±0.23, 0.49±0.06 and in SE Group 3 (> -10D) the thickness was found to be 67.75 μm, 2.54±0.24, 0.49±0.05 respectively. This decrease in pRNFL thickness is highly statistically significant (p < 0.001) in different groups. Similar results were seen with Al Group 1,2 and 3. Conclusion: Average pRNFL thickness clearly exhibited a decreasing pattern as spherical equivalent and Axial length increases while it is not followed in all quadrants. The average disc area increases however CD ratio remains unchanged as spherical equivalent increases.
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利用光学相干断层扫描(OCT)研究不同程度近视眼视盘内部及周围的形态学变化
目的:利用光学相干断层扫描(OCT)研究不同程度近视眼视盘内及视盘周围的形态学变化。方法:本前瞻性研究纳入110名近视受试者,评估近视患者乳头周围视网膜神经纤维层(pRNFL)模式。结果:SE组1 (-3D ~ -6D)的pRNFL平均厚度、平均椎间盘面积和平均CD Ratio分别为87.67 μm、1.850±0.36、0.46±0.09,SE组2 (> -6D ~ -10D)的pRNFL平均厚度、平均椎间盘面积和平均CD Ratio分别为82.56 μm、1.89±0.23、0.49±0.06,SE组3 (> -10D)的pRNFL平均厚度分别为67.75 μm、2.54±0.24、0.49±0.05。pRNFL厚度的减少在不同组中具有高度统计学意义(p < 0.001)。与Al组1、2、3相似。结论:pRNFL的平均厚度随球当量和轴向长度的增加而明显减小,但并非所有象限都是如此。随着球当量的增大,平均圆盘面积增大,而CD比不变。
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