智障儿童视网膜神经纤维层厚度、mak厚度与黄斑体积的关系

IF 1.7 4区 医学 Q3 DEVELOPMENTAL BIOLOGY
Umut Karaaslan, Hatice Altun, Ayşegül Çömez
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引用次数: 0

摘要

目的探讨智力残疾儿童视网膜神经纤维层(RNFL)厚度、黄斑厚度和黄斑体积及其与Weschler儿童智力量表(WISC-R)的关系。方法选取41例7 ~ 18岁的ID患者(男27例,女14例)和41例年龄和性别匹配的健康人(男24例,女17例)。采用WISC-R智力测验,并要求家长填写《社会人口统计资料表》和《优势与困难问卷》。采用光学相干断层扫描(OCT)检查RNFL、黄斑厚度和黄斑体积。结果患者组鼻、颞、上、下四个象限的RNFL均较低,但与对照组比较,差异无统计学意义。患者组左眼中央黄斑、左眼平均黄斑厚度显著低于对照组(p = 0.030, p = 0.048)。虽然无统计学意义,但患者组其他所有黄斑厚度和体积值均低于对照组。在患者组中,WISC-R表现亚评分与右眼下象限、左眼下象限、颞象限的RNFL值呈弱负相关(r =−0.329,p = 0.036;R =−0.308,p = 0.050;R =−0.309,p = 0.050)。此外,WISC-R总分与左眼颞象限RNFL值呈弱负相关(r = - 0.318, p = 0.043)。结论本研究提示ID患者黄斑厚度减少,但RNFL无统计学意义变化。考虑到视网膜和中枢神经系统的共同发育起源,较低的黄斑厚度可能与ID中所见的大脑异常有关。需要进一步的研究来确定OCT作为诊断和监测这种疾病进展的工具的潜在应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Retinal Nerve Fibre Layer Thickness, Maküler Thickness and Macular Volume in Children With Intellectual Disability

Retinal Nerve Fibre Layer Thickness, Maküler Thickness and Macular Volume in Children With Intellectual Disability

Objective

It was aimed to investigate retinal nerve fibre layer (RNFL) thickness, macular thickness and macular volume and the relationship between these parameters and the Weschler Intelligence Scale for Children (WISC-R) in children with intellectual disability (ID).

Methods

The study included 41 (27 male and 14 female) patients of ages 7–18 who were diagnosed with ID and 41 age- and sex-matched healthy individuals (24 male and 17 female). WISC-R intelligence test was applied with all the participants, and the parents were asked to fill out a Sociodemographic Data Form and the Strengths and Difficulties Questionnaire (SDQ). The RNFL, macular thickness and macular volume were examined by optical coherence tomography (OCT).

Results

The RNFL was lower in all the quadrants (nasal, temporal, superior and inferior) in the patient group, but this thinness was not statistically significant in comparison to the control group. The left eye central macular and lest eye mean macular thicknesses were significantly lower in the patient group (respectively, p = 0.030, p = 0.048). Though not statistically significant, other all macular thickness and volume values were lower in the patient group in comparison to the control group. In the patient group, a weak negative correlation was observed between the performance subscore of the WISC-R and the RNFL values of the right eye inferior quadrant, as well as the left eye inferior and temporal quadrants (respectively, r = −0.329, p = 0.036; r = −0.308, p = 0.050; r = −0.309, p = 0.050). Additionally, a weak negative correlation was found between the total WISC-R scores and the RNFL values of the left eye temporal quadrant (r = −0.318, p = 0.043).

Conclusion

This study suggests that macular thickness are reduced in ID patients but show no statistically significant changes in the RNFL. Lower macular thickness may potentially be linked to the brain abnormalities seen in ID, given the shared developmental origin of the retina and central nervous system. Further studies are needed to determine the potential application of OCT as a tool for diagnosing and monitoring the progression of this disease.

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来源期刊
CiteScore
3.30
自引率
5.60%
发文量
78
审稿时长
6-12 weeks
期刊介绍: International Journal of Developmental Neuroscience publishes original research articles and critical review papers on all fundamental and clinical aspects of nervous system development, renewal and regeneration, as well as on the effects of genetic and environmental perturbations of brain development and homeostasis leading to neurodevelopmental disorders and neurological conditions. Studies describing the involvement of stem cells in nervous system maintenance and disease (including brain tumours), stem cell-based approaches for the investigation of neurodegenerative diseases, roles of neuroinflammation in development and disease, and neuroevolution are also encouraged. Investigations using molecular, cellular, physiological, genetic and epigenetic approaches in model systems ranging from simple invertebrates to human iPSC-based 2D and 3D models are encouraged, as are studies using experimental models that provide behavioural or evolutionary insights. The journal also publishes Special Issues dealing with topics at the cutting edge of research edited by Guest Editors appointed by the Editor in Chief. A major aim of the journal is to facilitate the transfer of fundamental studies of nervous system development, maintenance, and disease to clinical applications. The journal thus intends to disseminate valuable information for both biologists and physicians. International Journal of Developmental Neuroscience is owned and supported by The International Society for Developmental Neuroscience (ISDN), an organization of scientists interested in advancing developmental neuroscience research in the broadest sense.
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