穿透性角膜移植术后中央黄斑厚度的评价

Nagehan Can, M. Guler, E. Yusufoğlu, F. Çelik, F. Gul, E. Ozsoy
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摘要

目的:探讨穿透性角膜移植术后黄斑中央厚度的变化。材料与方法:选取24例行穿透性角膜移植术患者的24只眼作为研究对象。本研究通过回顾患者的病历进行回顾性研究。比较术后第1周、第1个月、第3个月、第6个月和第12个月的平均黄斑总体积、黄斑中央厚度、黄斑中央凹旁面积和黄斑周围面积厚度以及视网膜神经纤维层(RNFL)厚度。采用方差分析进行统计分析。结果:术后第1周、第1个月、第3个月、第6个月、第12个月平均黄斑总体积分别为7.03±0.2 mm³、7.05±0.4 mm³、7.0±0.6 mm³、7.02±0.5 mm³、6.12±0.6 mm³。中心黄斑厚度平均值分别为227.6±4.6 μm、228.7±5.5 μm、227.2±4.6 μm、227.5±7.1 μm、226.3±5.1μm;平均中央凹区厚度分别为290.2±3.7 μm、289.9±7.8 μm、288.7±6.3 μm、288.8±4.7 μm、288.6±8.3 μm,平均中央凹区厚度分别为261.1±4.2 μm、261.4±1.9 μm、260.4±3.6 μm、259.8±2.7 μm、259.3±4.7 μm,平均RNFL厚度分别为106.54±11.28 μm、107.28±8.75 μm、107.45±13.64 μm、105.62±9.27 μm、105.16±12.74 μm;分别。结论:穿透性角膜移植术后黄斑厚度无明显变化。虽然术后早期黄斑厚度增加,但随着时间的推移而减少。
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Evaluation of central macular thickness after penetrating keratoplasty
Aim: To evaluate the changes in central macular thickness after penetrating keratoplasty. Material and Methods: A total of 24 eyes of 24 patients who had undergone penetrating keratoplasty were included in the study. This study was performed retrospectively by reviewing the charts of the patients. Postoperative 1st week, 1st month, 3rd month, 6th month and 12th month mean total macular volume, central macular thickness, parafoveal area and perifoveal area thickness and retinal nevre fiber layer (RNFL) thickness results obtained with optic coherence tomography were compared. ANOVA test was used for statistical analysis. Results: The postoperative 1st week, 1st month, 3rd month, 6th month and 12th month mean total macular volume measurements were 7.03±0.2 mm³, 7.05±0.4 mm³, 7.0±0.6 mm³, 7.02±0.5 mm³ and 6.12±0.6 mm³, respectively. Mean central macular thickness measurements were 227.6±4.6 μm, 228.7±5.5 μm, 227.2±4.6 μm, 227.5±7.1 μm, 226.3±5.1μm respectively; mean parafoveal area thickness measurements were 290.2±3.7 μm, 289.9±7.8 μm, 288.7±6.3 μm, 288.8±4.7 μm, 288.6±8.3 μm respectively, mean perifoveal area thickness measurements were 261.1±4.2 μm, 261.4±1.9 μm, 260.4±3.6 μm, 259.8±2.7 μm, 259.3±4.7 μm respectively, and mean RNFL thickness measurements were 106.54±11.28 μm, 107.28±8.75 μm, 107.45±13.64 μm, 105.62±9.27 μm, 105.16±12.74 μm; respectively. Conclusion: No significant change was seen in macular thickness after penetrating keratoplasty. Although the macular thickness increases in the early postoperative stage, it decreases in time.
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