急性中心性浆液性脉络膜视网膜病变的形态和功能相关性。

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY
Documenta Ophthalmologica Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI:10.1007/s10633-024-09969-8
Peter Kiraly, Maja Šuštar Habjan, Jaka Smrekar, Polona Jaki Mekjavić
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引用次数: 0

摘要

目的:我们对急性中心性浆液性脉络膜视网膜病变(CSC)患者的形态和功能相关性进行了评估:我们对 50 名急性 CSC 患者进行了前瞻性研究,这些患者的急性 CSC 病程不足 3 个月。基线评估包括光学相干断层扫描(OCT)、最佳矫正视力(BCVA)、对比敏感度(CS)、显微视力计(MP)和多灶视网膜电图(mfERG)。对每位患者的患眼进行了 OCT 形态参数(最大视网膜下积液高度(SRF)、视网膜中央厚度(CRT)和黄斑体积(MV))与功能参数之间的相关性分析:在形态参数中,SRF 与功能参数的相关性最强(r 绝对值范围 = 0.10-0.70)。BCVA和形态学参数之间的相关性较弱(r绝对值范围=0.14-0.26)。平均视网膜灵敏度(MP-A)是与形态学参数负相关性最强的功能参数(r 绝对值范围 = 0.61-0.70)。与此相反,第一环(mfERG-A1)和第二环(mfERG-A2)的平均对比敏感度(CS-A)和 mfERG 平均振幅密度显示出弱到中等程度的相关性(r 绝对值范围 = 0.35-0.56),但在统计学上显著不为零:结论:SRF和CRT可作为急性CSC患者视功能缺陷的最具代表性的形态学代用指标。结论:SRF 和 CRT 可作为急性 CSC 患者视功能缺陷的最有代表性的形态学代用指标。在临床研究或需要进行深入的视功能评估时,MP 所测量的视网膜敏感性可能优于 BCVA。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Morphological and Functional Correlations in Acute Central Serous Chorioretinopathy.

Morphological and Functional Correlations in Acute Central Serous Chorioretinopathy.

Purpose: We evaluate morphological and functional correlations in patients with acute central serous chorioretinopathy (CSC).

Methods: A prospective study was conducted on 50 patients with an acute CSC episode lasting less than 3 months. At baseline, assessments included optical coherence tomography (OCT), best-corrected visual acuity (BCVA), contrast sensitivity (CS), microperimetry (MP), and multifocal electroretinography (mfERG). A correlation analysis between OCT morphological parameters (maximal subretinal fluid height (SRF), central retinal thickness (CRT), and macular volume (MV)) and functional parameters was conducted on the affected eye for each patient.

Results: Among the morphological parameters, SRF showed the strongest correlations with functional parameters (r absolute value range = 0.10-0.70). Weak correlations were observed between BCVA and morphological parameters (r absolute value range = 0.14-0.26). Average retinal sensitivity (MP-A) was the functional parameter displaying the most robust negative correlation with morphological parameters (r absolute value range = 0.61-0.70). In contrast, average contrast sensitivity (CS-A) and mfERG average amplitude density in the first (mfERG-A1) and second (mfERG-A2) ring showed weak to moderate (r absolute value range = 0.35-0.56) yet statistically significantly nonzero correlations.

Conclusions: SRF and CRT could serve as the most representative morphological proxies for visual function deficit in acute CSC patients. Retinal sensitivity, as measured by MP, may be superior to BCVA in clinical research studies or when an in-depth visual function evaluation is needed.

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来源期刊
Documenta Ophthalmologica
Documenta Ophthalmologica 医学-眼科学
CiteScore
3.50
自引率
21.40%
发文量
46
审稿时长
>12 weeks
期刊介绍: Documenta Ophthalmologica is an official publication of the International Society for Clinical Electrophysiology of Vision. The purpose of the journal is to promote the understanding and application of clinical electrophysiology of vision. Documenta Ophthalmologica will publish reviews, research articles, technical notes, brief reports and case studies which inform the readers about basic and clinical sciences related to visual electrodiagnosis and means to improve diagnosis and clinical management of patients using visual electrophysiology. Studies may involve animals or humans. In either case appropriate care must be taken to follow the Declaration of Helsinki for human subject or appropriate humane standards of animal care (e.g., the ARVO standards on Animal Care and Use).
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