天津医药

天津医药 ›› 2016, Vol. 44 ›› Issue (7): 884-887.doi: 10.11958/20160177

• 临床研究 • 上一篇    下一篇

光相干断层成像在特发性黄斑前膜患者视功能评估中的应用

孟斌， 吉昂， 牛红霞， 闫丽娟， 陈序， 彭莹， 仉晨光   

  1. 北京市海淀医院（北京大学第三医院海淀院区）眼科
  • 收稿日期:2016-03-18 修回日期:2016-05-11 出版日期:2016-07-15 发布日期:2016-07-15
  • 通讯作者: 孟斌 E-mail:ykysmb@sina.com
  • 作者简介:孟斌（1978）， 男， 硕士研究生， 主要从事眼底病方面研究

Application of optic coherent tomography in assessing visual performance of idiopathic macular epiretinal membrane patients

MENG Bin, JI Ang, NIU Hongxia, YAN Lijuan, CHEN Xu, PENG Ying, ZHANG Chenguang   

  1. Beijing Haidian Hospital (Haidian Section of Peking University Third Hospital), Beijing 100083, China
  • Received:2016-03-18 Revised:2016-05-11 Published:2016-07-15 Online:2016-07-15
  • Contact: Bin MENG E-mail:ykysmb@sina.com

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摘要： 目的 探讨特发性黄斑前膜（IMEM）患者光相干断层成像（OCT）显示视网膜结构变形程度及黄斑区视网膜厚度（RT）与患者视功能损害的相关性。方法 回顾性分析经OCT检查确诊IMEM共56例66眼，进行最佳矫正视力（BCVA），眼底及OCT检查，依据视网膜内部结构变异严重程度分为轻、中、重组，并测量RT。结果 轻、中、重组患眼平均RT分别为（311.95±51.78）、（447.13±41.95）和（560.00±58.23）μm，依次增高，差异有统计学意义（均P＜0.05）；轻、中、重组患眼平均BCVA分别为0.78±0.16、0.38±0.12和0.27±0.14，依次降低，差异有统计学意义（P＜0.05）；轻组患眼RT与BCVA之间无相关性（r=-0.352，P=0.128），中、重组内患眼RT与BCVA之间呈负相关（r分别为-0.768和-0.482，P＜0.05）。结论 黄斑区视网膜结构变异程度及视网膜厚度可以反映视功能损害的程度， RT值达到400um可以作为手术干预的客观标准。

关键词: 黄斑, 视网膜疾病, 视力试验, 特发性黄斑前膜, 光相干断层成像, 视网膜厚度

Abstract: Abstract：Objective Correlation analysis among retinal deformation degree and retina thickness of macular fovea(RT) and visual acuity(BCVA) in idiopathic macular epiretinal membrane patients. Methods The 66 eyes(56 patients)with idiopathic epiretinal membrane were included in this study, all the patients had undergone examination of visual acuity(LogMAR chart)，ocular fundus and OCT,all patients were divided into three groups according to retinal deformation degree, the RT value was measured manually .Data were analyzed using SPSS 19.0. SNK tests were undergone on BCVA and RT among three groups;PEARSON tests were undergone between RT and BCVA respectivel in three groups. Results There was significant difference on RT among three groups(averages respectively were 311.95±51.78um, 447.13±41.95um and 560.00±58.23um),the same result on visual acuity in three groups(averages respectively were 0.78±0.16 , 0.38±0.12 and 0.27±0.14)( P＜0.05). Statistic analysis revealed that BCVA was not related to RT in light Group(P>0.05),but was related to RT in medium Group and serious group (P＜0.05)．Conclusion The retinal deformation degree and RT are two objective indicators to assessing visual performance of idiopathic macular epiretinal membrane patients, Operation should be took when RT is more than 400 μm.

Key words: macula lutea, retinal diseases, vision tests, idiopathic macular epiretinal membrane, optic coherent tomography, retina thickness