小梁切除术后早期视网膜光敏阈值变化的显微视野评价。

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY
Japanese Journal of Ophthalmology Pub Date : 2025-05-01 Epub Date: 2025-05-07 DOI:10.1007/s10384-025-01186-3
Takeshi Yoshida, Sho Ogawa, Takayuki Miki, Yuiko Kodera, Gen Shimizu, Sota Yoshimoto, Keigo Sugisawa, Motohisa Ohno, Shintaro Yasuda, Yuto Shiotani, Kyoko Ohno-Matsui
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引用次数: 0

摘要

目的:探讨开角型青光眼术后早期视网膜光敏感性的变化。研究设计:回顾性队列研究。方法:对24只行小梁切除术的眼进行分析。手术前和术后7天用显微镜测量视网膜光敏阈值。线性回归分析确定影响术后敏感性变化的因素。我们还评估了视网膜光敏感阈值在中央凹和旁斑点的变化之间的相关性。结果:术后眼压明显降低。手术后视网膜光敏的平均阈值与术前相比无统计学意义的变化。具体来说,平均阈值在4只眼睛中升高,在2只眼睛中降低,在18只眼睛中保持稳定。通过对各检查点的分析,71.8%的眼睛表现出稳定性,12.8%的眼睛术后视网膜光敏阈值下降小于-6 dB, 15.4%的眼睛术后视网膜光敏阈值改善大于+6 dB。在视网膜光敏感性的变化,在大多数斑旁点被发现是独立的那些在中央窝。过度的IOP降低被认为是中央视野损害的重要危险因素。结论:小梁切除术后早期视网膜光敏阈值的局部变化可能有所不同,因此需要监测视网膜局部功能,以更好地了解其对视力结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of changes in retinal light sensitivity thresholds in the early postoperative days after trabeculectomy using microperimetry.

Purpose: To investigate early postoperative changes in retinal light sensitivity at the foveal and paramacular points in open angle glaucoma patients.

Study design: Retrospective cohort study.

Methods: Twenty-four eyes undergoing trabeculectomy were analyzed. Retinal light sensitivity thresholds were measured using microperimetry both before and 7 days after surgery. Linear regression analysis identified factors affecting postoperative sensitivity changes. We also evaluated the correlation between changes in the threshold of retinal light sensitivity at the foveal and paramacular points.

Results: Intraocular pressure significantly decreased postoperatively. The mean threshold values of retinal light sensitivity following surgery showed no statistically significant changes compared with preoperative values across all eyes. Specifically, the mean threshold values increased in 4 eyes, decreased in 2, and remained stable in 18. Upon analyzing each examination point, 71.8% eyes exhibited stability, 12.8% showed a decrease of less than -6 dB, and 15.4% demonstrated an improvement of more than +6 dB in threshold values of retinal light sensitivity post-surgery. Changes in retinal light sensitivity at most paramacular points were found to be independent of those at the fovea. Excessive IOP reduction was identified as a significant risk factor for central visual field impairment.

Conclusions: Localized changes in retinal light sensitivity thresholds can vary in the early postoperative period following trabeculectomy, highlighting the need to monitor localized retinal function to better understand its impact on visual outcomes.

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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
65
审稿时长
6-12 weeks
期刊介绍: The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.
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