The choroidal thickness and blood flow in the subfoveal area with idiopathic macular hole by spectral-domain optical coherence tomography
10.3760/cma.j.issn.1005-1015.2017.04.016
- VernacularTitle:特发性黄斑裂孔患眼黄斑中心凹下脉络膜厚度及毛细血管血流面积的频域光相干断层扫描观察
- Author:
Qiurong LIN
;
Min GAO
;
Haiyun LIU
- Keywords:
Retinal perforations/diagnosis;
Tomography,optical coherence;
Diagnostic imaging
- From:
Chinese Journal of Ocular Fundus Diseases
2017;33(4):396-399
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the subfoveal choroidal thickness (SFCT) and choriocapillary blood flow area (CBFA) in the patients with idiopathic macular hole (IMH).Methods This is a prospective clinical study.Thirty-two patients with unilateral IMH (4 in stage 2,17 in stage 3,11 in stage 4) and 32 age-and sexmatched normal controls were enrolled in this study.All eyes were divided into three groups,including group A (32 affected eyes),group B (32 fellow eyes) and group C (32 normal eyes of controls).There was no significant difference in age (t=0.865) and gender (x2=0.000) in IMH patients versus normal control subjects (P>0.05).There was no significant difference in refraction (F=0.957) and ocular axial length (F=0.562) between group A,B and C.The SFCT was detected by enhanced depth imaging of spectral-domain optical coherence tomography (OCT).The CBFA was detected by OCT angiography.The differences of SFCT and CBFA in three groups were analyzed by Kruskal-Wallis and non-parametric test.Results The mean SFCT was (182.53 ±64.52) μtm in group A,(199.21 t73.07) μtm in group B and (254.21 ±56.85) μtm in group C respectively.The SFCT was thinner in group A and B than that in group C (Z=-4.362,-3.190;P<0.05),but was the same in group A and B (Z=-1.171,P>0.05).The mean CBFA was (5.09±0.31) mm2 in group A,(5.41 ±0.20) mm2 in group B and (5.39±0.15) mm2 in group C respectively.The CBFA was reduced in group A than that in group B and C (Z=-4.467,-4.048;P<0.05),but was samc in group B and C (Z=0.420,P>0.05).Conclusion SFCT and CBFA are both reduced in IMH eyes.