视网膜神经纤维层(RNFL)厚度作为葡萄膜炎的生物标志物。

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY Ocular Immunology and Inflammation Pub Date : 2024-09-01 Epub Date: 2023-06-22 DOI:10.1080/09273948.2023.2220787
R Gutiérrez-Ezquerro, Eva M Salinas Martínez, L Vidal-Oliver, R Izquierdo-Escámez, Jose I Belda
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引用次数: 0

摘要

目的:研究葡萄膜炎发作期间和之后视网膜神经纤维层(RNFL)厚度的变化:这是一项对托雷维耶哈医院眼科确诊的葡萄膜炎患者进行的回顾性研究。我们分析了急性发作期间和之后的 RNFL 厚度:我们共纳入了 29 名患者。大多数患者(55.2%)患有前葡萄膜炎,其次是后葡萄膜炎、中间葡萄膜炎和泛葡萄膜炎。发作期的平均 RNFL 厚度明显更高(132.17±35.54μm vs 107.66±17.10μm)。RNFL厚度在有无黄斑水肿组之间无差异:结论:大多数葡萄膜炎患者的RNFL会在病情发作时增厚。结论:大多数葡萄膜炎患者在病情发作时,RNFL 都会增厚,这可以通过光学相干断层扫描进行无创测量,是炎症的客观标志。这有利于更早地发现葡萄膜炎的发作、缓解和复发。需要进行更多的研究,以确定 RNFL 随时间和不同类型葡萄膜炎的演变情况。
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The Thickness of the Retinal Nerve Fiber Layer (RNFL) as a Biomarker in Uveitis.

Aims: To study the changes of the retinal nerve fiber layer (RNFL) thickness during and following uveitis flares.

Methods: This was a retrospective study of patients with uveitis diagnosed in the ophthalmology service of Torrevieja hospital. We analyzed RNFL thickness during and after the acute episode.

Results:    We included 29 patients. Most patients (55.2%) had anterior uveitis; followed by posterior, intermediate and panuveitis. Mean RNFL thickness was significantly higher during the flare (132.17±35.54μm vs 107.66±17.10μm). RNFL thickness had no difference between groups with or without macular edema.

Conclusions: The RNFL thickens during flares in most patients with uveitis. It can be measured by optical coherence tomography in a non-invasive way, representing an objective marker of inflammation. This can favor earlier detection of flares, resolution, and recurrence of uveitis. More studies are needed to determine the evolution of RNFL over time and in different types of uveitis.

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来源期刊
CiteScore
6.20
自引率
15.20%
发文量
285
审稿时长
6-12 weeks
期刊介绍: Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.
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