基于光学相干断层成像血管造影的数据与黄斑上和黄斑下RRD手术患者术后视力的相关性

Q4 Medicine
Ірина Безкоровайна, Анна Іванченко
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引用次数: 0

摘要

背景:尽管孔源性视网膜脱离(RRD)修复的外科技术取得了进展,但患者仍面临低功能结果的高风险。鉴于上述情况,重要的是要找出对RRD玻璃体视网膜手术结果感到失望的原因。视网膜微循环受损是RRD手术中功能结果不佳的可能原因。目的:比较RRD黄斑手术患者和RRD非黄斑手术患者术后基于光学相干断层扫描血管造影术(OCTA)的视网膜微循环变化,以及(2)建立OCTA数据和最佳矫正视力(BCVA)的关系。材料和方法:本前瞻性研究包括116例患者。其中,65例接受了RRD黄斑手术(第1组),51例接受了非RRD黄斑外科手术(第2组)。评估基于OCTA的视网膜血管系统参数(中央凹无血管区(FAZ)面积、中央凹旁浅毛细血管丛(SCP)密度和深毛细血管丛(DCP)密度、血管直径和血管弯曲指数(VTI))及其与BCVA的相关性。随访时间为12个月。结果:第1组12个月时,FAZ面积与黄斑厚度呈负相关(r=-0.299,p=0.025)。最终BCVA与肺旁DCP密度(r=-0.340,p=0.010)和FAZ面积(r=0.390,p=0.003)相关。12个月时,第2组的BCVA与FAZ区域(r=0.408,p=0.01 2)和肺旁SCP密度(r=-0.451,p=0.005)呈负相关。此外,黄斑旁DCP密度与术后BCVA呈负相关(r=-0.418),FAZ面积与黄斑厚度无相关(r=0.282,p=0.080)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between optical coherence tomography angiography-based data and postoperative visual acuity in patients that underwent surgery for macula-on RRD and macula-off RRD
Background: Despite advances in surgical techniques for rhegmatogenous retinal detachment (RRD) repair, patients are still at high risk for low functional outcomes. Given the above, it is important to find reasons for disappointment at the outcomes of vitreoretinal surgery for RRD. Impaired retinal microcirculation is a possible cause of insufficiently good functional outcomes in surgery for RRD. Purpose: To compare postoperative optical coherence tomography angiography (OCTA)-based changes in retinal microcirculation in the eyes of patients that underwent surgery for macula-on RRD versus the eyes of patients that underwent surgery for macula-off RRD and (2) to establish a relationship between OCTA data and best-corrected visual acuity (BCVA). Material and Methods: This prospective study included 116 patients. Of these, 65 underwent surgery for macular-on RRD (group 1) and 51, surgery for macular-off RRD (group 2). OCTA-based retinal vasculature parameters (foveal avascular zone (FAZ) area, parafoveal superficial capillary plexus (SCP) density and deep capillary plexus (DCP) density, vessel diameter, and vessel tortuosity index (VTI)) and their correlation with BCVA were assessed. Follow-up duration was 12 months. Results: In group 1, there was a negative correlation between the FAZ area and the macular thickness (r = - 0.299, p = 0.025) at month 12. The final BCVA was associated with the parafoveal DCP density (r = - 0.340, p = 0.010) and FAZ area (r= 0.390, p = 0.003). At 12 months, in group 2, the BCVA negatively correlated with the FAZ area (r = - 0.408, p = 0.012) and parafoveal SCP density (r = - 0.451, p = 0.005). In addition, there was a negative correlation between the parafoveal DCP density and the postoperative BCVA (r = - 0.418). There was no correlation between the FAZ area and the macular thickness (r = - 0.282, p = 0.080). Conclusion: The poorer vessel tortuosity index and parafoveal vessel density and diameter, the lower was postoperative visual acuity.
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来源期刊
Oftalmologicheskii zhurnal
Oftalmologicheskii zhurnal Medicine-Ophthalmology
CiteScore
0.40
自引率
0.00%
发文量
71
期刊介绍: Journal of Ophthalmology (Ukraine) contains articles on eye diseases diagnosis and treatment, eye care, eye diseases prevention, history of ophthalmology, organization of eye care to population, technical equipment problems. It is committed to publishing original scientific researches and review articles on theory and practice of Ukrainian and foreign ophthalmology, cases, reviews, inventions, historical and medical reviews. It contains peer-reviews of books on ophthalmology, articles on activity of ophthalmologic societies, congresses and conferences chronicles. Journal is designed to ophthalmologists and scientific researchers in the field of vision physiology and eye diseases clinic.
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