SD-OCT形态学变量对黄斑和脉络膜厚度影响的规范化研究

Sumeet Chopra, P. S. Sodhi, Akash Goel, Sehajpreet Kaur, G. Bajwa
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摘要

利用SD-OCT测定健康北印度眼的黄斑和脉络膜厚度,并确定其随年龄和身高的变化。随机选择400例(800只眼)无视网膜和脉络膜病变的健康受试者,用Cirrus SD-OCT对黄斑进行成像。对糖尿病视网膜病变早期治疗研究中所有9个区域的黄斑厚度进行评估。增强深度成像技术显示脉络膜。脉络膜厚度在中央窝下测量,间隔500微米至1500微米,颞部和鼻部至中央窝。平均年龄33.60岁±14.033岁,平均身高163.5 cm±11.715。平均中央黄斑厚度(CMT)为242.59µm±16.802,平均中央凹下脉络膜厚度为325.18µm±47.087。CMT与年龄(r=0.120, p<0.001)、身高(r=0.258, p<0.001)显著相关(Pearson相关系数)。脉络膜厚度随年龄的增长而下降,相关性有统计学意义。脉络膜厚度也随身高的增加而降低,且有统计学意义,但没有发现特定的规律。这个规范的脉络膜和黄斑厚度OCT数据库将作为诊断视网膜病变的基础,并有助于未来的研究。
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Normative Study to Correlate the Effects of Morphological Variables on Macular and Choroidal Thickness Using SD-OCT
To determine macular and choroidal thickness in healthy north Indian eyes and determine its variation with age and height using SD-OCT. The macula of 400 randomly selected healthy subjects (800 eyes) with no retinal and choroidal pathology was imaged with Cirrus SD-OCT. Macular thickness from all 9 regions of Early Treatment Diabetic Retinopathy Study was evaluated. Choroid was visualized by enhanced depth imaging technique. Choroidal thickness was measured sub foveally and at 500 microns intervals upto 1500 microns temporal and nasal to the fovea. The mean age of the subjects was 33.60 years ± 14.033 and mean height was 163.5 cms ± 11.715. Mean central macular thickness (CMT) was 242.59 µm ± 16.802 and mean sub foveal choroidal thickness was 325.18 µm ± 47.087. CMT correlated significantly (Pearson’s correlation coefficient) with age (r=0.120, p<0.001) and height (r=0.258, p<0.001). Choroidal thickness decreased with age and the correlation was statistically significant. Choroidal thickness also decreased with height with a statistically significant correlation, but no specific pattern was found. This normative database of choroidal and macular thickness by OCT will serve as baseline for diagnosing retinal pathologies and help in future research.
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