采用OCT测量正常人视盘黄斑中心凹夹角.docVIP

采用OCT测量正常人视盘黄斑中心凹夹角 作者：王淑霞，李心瑶，李洪阳，邱辉，王欣玲 【摘要】 　　目的：采用光学相干断层扫描仪（OCT）测量并分析正常人视盘黄斑中心凹夹角(DFA)测量值及各年龄组、性别、眼别之间的差异。方法：采用光学相干断层扫描仪对正常人198例396眼进行检查，年龄12～60岁，以18岁、40岁为界分为3个不同年龄组，摄取头正位时眼底黄斑中心凹视盘像，采用ImageJ软件测量DFA数值，应用SPSS统计软件分析数据。结果：正常人DFA变化范围为0.56～14.29度，平均值为7.35±2.15度。正常人各年龄组DFA无显著性差异。右眼及左眼DFA分别为7.43±2.46度和7.27±2.45度，左右眼对比DFA无显著性差异。男性及女性DFA分别为7.41±2.21度和7.28±2.10度，两者间无显著性差异。结论：采用OCT测量正常人DFA为观察眼球旋转角提供了一种新的手段。 【关键词】 视盘黄斑中心凹夹角；光学相干断层扫描仪;眼球旋转 　　AbstractAIM: To measure discfovea angle (DFA) of normal Chinese people with optical coherence tomography (OCT，Carl Zeiss Meditec, Dublin, CA) and investigate the difference.METHODS: A total of 396 eyes of 198 normal Chinese people were tested by OCT, images of fundus including fovea and disc were photoed, DFA was measured by using ImageJ software, and statistic analysis was done with SPSS software.RESULTS: DFA of normal Chinese people was 0.5614.29°, the average value was (7.35±2.15)°.There was no significant difference for DFA among three age groups. DFA of right eye and left eye was (7.43±2.46)° and (7.27±2.45)°respectively, there was no significant difference for DFA between right eye and left eye. DFA of male and female was (7.41±2.21)°and (7.28±2.10)°respectively. There was no significant difference for DFA between male and female. CONCLUSION: Measurement of DFA by using OCT is a new method of observing the ocular torsion.  　　KEYWORDS: discfovea angle; optical coherence tomography; ocular torsion 　　0引言 　　旋转性斜视是发生在眼球环绕视轴不正常旋转时的斜视,常由内旋肌（上斜肌、上直肌）和外旋肌（下斜肌、下直肌）之间的平衡失调引起。通过测量视盘—黄斑中心凹夹角（discfovea angle，DFA）可以客观判断是否存在旋转性斜视[1,2]。DFA的测量有裂隙灯前置镜、眼底照相等方法[3,4]。采用光学相干断层扫描仪（OCT）可在非散瞳状态下观察并记录黄斑与视盘的相对位置[5]。我们应用OCT采集正常人眼底像并测量DFA，对采集的数据进行统计分析。报告结果如下。 　　1对象和方法 　　1.1对象 　　随机检查眼科门诊正常人198例396眼，年龄12～60岁，以18岁、40岁为界分为12～18岁、19～40岁、41～60岁3个不同年龄组，每组66例132眼。正常人标准为：（1）双眼裸眼或矫正视力≥1.0；（2）双眼屈光不正≤±2.50D，无斜轴散光；（3）眼位正常，同视机检查无异常，无眼外肌病，无眼部手术史。 　　1.2方法 　　采用Carl Zeiss公司生产的光学相干断层扫描仪采集眼底像。被检查者下颌放置在颌托架上，额部贴紧头部支架，头部保持正位，非散瞳状