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ID:39129680
大小:1.77 MB
页数:40页
时间:2019-06-25
《高度近视眼视网膜神经纤维层和黄斑区神经上皮层OCT检测特点分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、重庆医科大学硕士研究生学位论文THESTUDYoFTHERETINALNERVEFIBERLAYERANDTHENEURoSENSoRYRETINAINMACULAMEASUREMENTUSINGoPTICALCoHERENCEToMOGRAPHYINHIGHMYoPIAABSTRUCTObjective:(1)Tomeasuretheretinalnervefiberlayer(RNFL)thicknessandtheneurosensoryretinalthicknessandvolumeinmacularusingopticalcoherencetomograph
2、y(OCT)inthehighmyopiapatients,andtofindthecharactersofthem.(2)Toanalyzethechangesoftheretinalnervefiberlayerandtheneurosensoryretinainmacularinmyopiaandglaucoma,andsupplytheparametersofOCTforearlydiagnosisofcomplicatedglaucomainmyopia.Methods:Collected60subjects(60eyes)ofhighmyopiaeyesan
3、d50subjects(50eyes)ofnormaleyes,dividedthemintohighmyopiagroupandnormalcontrolgroup.(1)ThicknessoftheRNFLaroundthediscWaSdeterminedwith3.4mmdiametercircleOCTscan,anditwasmeasuredandanalyzedusingtheStratus—OCT.(2)ThethicknessandvolumeoftheneurosensoryretinalonOCTmacularmapwascalculatedaut
4、omaticallyusingStrams—OCT.Allexaminationsandmeasurementsweredonebythesameexaminerinthesamecondition.Results:(1)Inthehighmyopiagroup,theaverageRNFLthicknessof4重庆医科大学硕士研究生学位论文superiorandinferiorquadrantswerethickerthanthatofthetemporalquadrant,andtheaverageRNFLthicknessofthenasalquadrantwa
5、sthethinnestone.TheRNFLthicknessof7:00and11:00positionswerethickerthanthatofotherpointpositionsinthehighmyopiagroup,andthatof3:00positionWasthethinnestone.(2)Thetotal,superior,inferiorandnasalquadrantsaverageRNFLthicknessinthehighmyopiagroupbecamethinnerthanthoseinthenormalcontrolgroup(P
6、<0.0001),especiallythenasalquadrant.ThereWasnostatisticallysignificantchangeinthetemporalquadrantexceptwhohaddioptergreaterthan一9.00D.(3)Thedegreeofchangein7:00and11:00positionsWaslessthanthatinotherpositionsinthesamequadrantinthehi曲myopiagroup.(4)Inthehighmyopiagroup,thechangesoftheneur
7、osensoryretinalthicknessandvolumeinthemaculaweresimilar.Superiorandinferiorquadrantswerethickerthanthetemporalquadrant,andthenasalquadrantWasthethinnestone.TheinnerringWasthickerthantheouterringinthesamequadrant.(5)Therewerestatisticallysignificantchangesforthemacularneur
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