手持式光谱域光学相干断层扫描后段指征在儿童年龄组在埃及三级眼科中心

IF 0.1 Q4 OPHTHALMOLOGY
Gihan Shokier
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引用次数: 0

摘要

目的探讨手持式光学相干断层扫描在儿童后段的适应症。这是一项回顾性观察性研究,纳入了2018年6月至2022年6月在Abo Elreesh医院进行手持式光谱域光学相干断层扫描(HH-OCT)成像的视网膜或视神经(ON)疾病患者。回顾纳入患者的影像、人口统计学和临床数据库。数据采用Microsoft Excel制表。采用适当的统计方法对所得数据进行分析和关联。结果共纳入189例患者,其中男性109例(57.7%)。平均年龄7.2±3.9岁(范围0.2 ~ 16岁)。总体而言,46例(24.3%)患者小于5岁(即婴儿和学龄前)。因视网膜原因(如眼球震颤、不明原因视力不佳、眼膜炎、科氏病、外伤、高度近视)行HH-OCT扫描的患者有130例(68.8%),而因ON疾病(如原发性先天性青光眼、青少年开角型青光眼、视盘充血、肿胀或苍白、大生理性火罐)行HH-OCT扫描的患者有59例(31.2%)。结论HH-OCT是一种评估婴幼儿视网膜和ON的无创、可行的成像方式。在我们提供的设备中,缺乏儿童年龄组视网膜神经纤维层厚度和ON头部参数的规范数据库,这被认为是限制其用于正确评估涉及ON的不同病理的限制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posterior segment indications of handheld spectral domain optical coherence tomography in pediatric age group in a tertiary eye center in Egypt
Objective The aim of this study was to detect the posterior segment indications for the use of handheld optical coherence tomography in the pediatric age group. Patients and methods This was a retrospective observational study that included patients who were candidates for handheld spectral domain optical coherence tomography (HH-OCT) imaging for retinal or optic nerve (ON) diseases in Abo Elreesh hospital during the period from June 2018 to June 2022. The image, demographic, and clinical database of the included patients were reviewed. Data were tabulated using Microsoft Excel. Appropriate statistical methods were used to analyze and correlate the obtained data. Results A total of 189 patients were included in this study, comprising 109 (57.7%) male patients. The mean age was 7.2±3.9 (range: 0.2–16 years) years. Overall, 46 (24.3%) patients were less than 5 years of age (i.e. infants and preschool age). Patients who underwent HH-OCT scanning due to retinal causes (i.e. nystagmus, unexplained poor vision, uveitis, Coat’s disease, trauma, and high myopia) were 130 (68.8%) patients, whereas 59 (31.2%) patients were indicated due to ON disease (i.e. primary congenital glaucoma and juvenile open angle glaucoma, optic disc hyperemia, swelling or pallor, and cases of large physiological cupping). Conclusion HH-OCT is a noninvasive feasible image modality for evaluation of retina and ON in infants and young children. The lack of a normative database for retinal nerve fiber layer thickness and ON head parameters in the pediatric age group in the device available in our service is considered a limitation in its use for proper evaluation of different pathologies involving the ON.
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