糖尿病乳头状瘤病的光学相干断层扫描特征和影响视力的因素。

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
European Journal of Ophthalmology Pub Date : 2024-09-01 Epub Date: 2024-01-09 DOI:10.1177/11206721231225989
Udit Ajmani, Brijesh Takkar, Padmaja Kumari Rani, Jay Chhablani, Niroj Kumar Sahoo
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引用次数: 0

摘要

目的:分析糖尿病乳头状瘤病的基线成像特征和影响视力不良的因素:这是一项在一家三级眼科医疗中心进行的回顾性观察研究,研究对象为确诊为糖尿病乳头状瘤病的患者。研究记录了包括年龄、性别、糖尿病病程、糖尿病类型、HbA1c 值和其他全身并发症在内的人口统计学数据。记录了基线最佳矫正视力(BCVA)和各种影像学特征:结果:共纳入 22 名确诊为糖尿病乳头状瘤病的患者的 37 只眼睛[平均年龄为 46.6 ± 13.5 岁,女性 5 名(22.7%),男性 17 名(77.3%)]。15例(68.2%)患者为双侧受累。基线 BCVA 平均值为 0.51 ± 0.49 logMAR(斯奈伦视力等效值 20/60)。两只眼(5.4%)并发轻度NPDR,9只眼(24.3%)并发中度NPDR,10只眼(27.03%)并发重度NPDR,16只眼(43.2%)并发PDR。所有患者均有视盘水肿,其中 4 眼视盘苍白。临床或光学相干断层扫描(OCT)血管造影发现,17 只眼睛(45.9%)的视盘存在远端血管扩张/新生血管。11只眼睛(29.7%)的视盘水肿伴有视网膜下积液。16只眼睛(43.2%)在光学相干断层扫描(OCT)上看到中心涉及黄斑水肿。在有黄斑水肿的眼睛中,基线黄斑中心厚度的平均值为 407.4 ± 71.42 微米。在对影响最终视力的基线因素进行评估时,结果显示视力是唯一具有统计学意义的变量:虽然视力结果良好,但视力较差的患者随访时视力往往较差。这可能有助于预后和指导管理计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optical coherence tomography characteristics and factors affecting visual acuity in diabetic papillopathy.

Purpose: To analyse baseline imaging characteristics and factors affecting poor visual acuity in diabetic papillopathy.

Methods: This was a retrospective, observational study conducted at a tertiary eye care centre in eyes with a diagnosis of diabetic papillopathy. Demographic data including age, gender, duration of diabetes, type of diabetes, HbA1c values and other systemic co-morbidities were recorded. Baseline best corrected visual acuity (BCVA), and various imaging characteristics were noted.

Results: 37 eyes of 22 patients with diagnosis of diabetic papillopathy were included [mean age of 46.6 ± 13.5 years, five (22.7%) females and 17 (77.3%) males]. Bilateral involvement was seen in 15 (68.2%) patients. The mean baseline BCVA was 0.51 ± 0.49 logMAR (Snellen equivalent 20/60). Two eyes (5.4%) had features of concurrent mild NPDR, 9 eyes (24.3%) had moderate NPDR, 10 eyes (27.03%) had severe NPDR while 16 (43.2%) other had PDR. All eyes had optic disc edema while 4 had disc pallor at presentation. Telangiectatic vessels/ neovascularisation of disc was present in 17 eyes (45.9%) detected either clinically or on optical coherence tomography (OCT) angiography. 11 (29.7%) eyes had a peripapillary cuff of subretinal fluid accompanying the disc edema. Sixteen eyes (43.2%) had centre involving macular edema seen on OCT. In eyes with a macular edema, the mean central macular thickness was 407.4 ± 71.42 microns at baseline. On assessing the baseline factors that contribute to the final visual acuity, presenting visual acuity was the only variable found to be statistically significant.

Conclusion: Although described to have good visual outcome, eyes presenting with poor visual acuity tend to have worse vision on follow up. This may aid in prognosticating and guiding management plan.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
372
审稿时长
3-8 weeks
期刊介绍: The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
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