原发性房角关闭行Nd:YAG激光周边虹膜切开术后脉络膜厚度的改变
张晨,陈伟
310013 杭州,浙江医院眼科(张晨);312000 浙江省绍兴市人民医院眼科(陈伟)
Changes in Choroidal Thickness after Nd:YAG Laser Peripheral Iridotomy in Patients with Primary Angle Closure
Chen Zhang, Wei Chen
1Department of Ophthalmology, Zhejiang Hospital, Hangzhou 310013, China
2Department of Ophthalmology, Shaoxing People's Hospital, Shaoxing 312000, China
摘要 目的:应用增强深部成像的光学相干断层扫描(EDI-OCT)技术测量原发性房角关闭(PAC)患者行Nd:YAG激光周边虹膜切开术(LPI)术前及术后脉络膜厚度,并与正常人的脉络膜厚度进行比较。方法:前瞻性队列研究。选择2015 年10 月至2017 年2 月在绍兴市人民医院眼科门诊就诊的符合PAC诊断的患者30例(48眼)作为PAC组,选择同期门诊正常体检的人群30例(50眼)作为正常对照组。测量正常对照组及PAC组LPI术前,术后1 周、1 个月、3 个月、6 个月的眼压、中央前房深度,并采用EDI-OCT分别测量黄斑中心凹下(SF)以及距离黄斑中心凹鼻侧(N1、N2、N3)、颞侧(T1、T2、T3)、上侧(S1、S2、S3)、下侧(I1、I2、I3)0.5、1.5、3.0 mm处共13个点的脉络膜厚度(CT)。采用重复测量方差分析对组间各不同时间点的数据进行比较;绘制脉络膜厚度的受试者工作特征曲线确定最佳诊断界限值;脉络膜厚度与眼压、中央前房深度的相关性采用Pearson相关分析;2组之间的比较采用独立样本t检验。结果:PAC组术前中央前房深度浅于正常对照组(t=-14.383,P < 0.001)。PAC组术前,术后1周、1个月、3个月、6个月各时间点的中央前房深度差异具有统计学意义(F=10.313,P=0.001),且术前、术后1周、1个月、3个月的中央前房深度依次变深(P < 0.01)。PAC组术前13个点的脉络膜厚度均厚于正常对照组(均P < 0.01)。PAC组各时间点的脉络膜厚度总体差异具有统计学意义(F=240.512,P < 0.001),术后1周、1个月、3个月、6个月的脉络膜厚度均较术前变薄(P < 0.001)。2组所有受试者的脉络膜厚度与中央前房深度在SF、T1、T2、T3、S2、S3、I1、I2、I3位置呈负相关(r=-0.249、-0.239、-0.416、-0.330、-0.184、-0.176、-0.189、-0.184、-0.160,P < 0.001),而脉络膜厚度与眼压、眼轴均无相关性。结论:PAC患者脉络膜厚度较正常人厚,行LPI术可使PAC患者的脉络膜厚度变薄。脉络膜厚度在PAC的早期诊断、病情观察及LPI手术治疗效果的评估方面具有一定的作用。
关键词 :
原发性房角关闭 ,
YAG激光 ,
虹膜切除术 ,
脉络膜厚度 ,
光学相干断层扫描
Abstract :Objective: To measure the choroidal thickness of patients with primary angle closure (PAC) before and after Nd:YAG laser peripheral iridotomy (LPI) using enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT); and to compare the difference between the choroidal thickness of patients with PAC and normal subjects. Methods: This was a prospective cohort study. Thirty patients (48 eyes) who were diagnosed with PAC were selected as the PAC group in the ophthalmology clinic of Shaoxing People's Hospital from October 2015 to February 2017. Thirty patients (50 eyes) undergoing regular physical examination were selected as normal controls in our hospital during the same period. Intraocular pressure and central anterior chamber depth were measured in the normal control group and PAC group before LPI, and 1 week, 1 month, 3 months and 6 months after LPI. Choroidal thickness was measured with EDI-OCT at the subfovea, as well as at 0.5, 1.5 and 3.0 mm from the fovea superiorly,inferiorly, temporally, and nasally. Repeated measures ANOVA was used to compare data between the two groups at different time points, and to plot the choroidal thickness of the receiver operating characteristic curve to determine the best diagnostic limits. Pearson correlation analysis was used to assess the correlation among choroidal thickness, intraocular pressure and central anterior chamber depth. Independent t test was used to compare between the two groups. Results: The central anterior chamber depth of the PAC group was more shallow than that of the normal control group (t=-14.383, P < 0.001). The difference in central anterior chamber depth was statistically significant before LPI and 1 week, 1 month, 3 months and 6 months after LPI (F=10.313, P=0.001). And the central anterior chamber depth of the PAC group became deeper from preoperation to 3 months postoperation (P < 0.01). The choroidal thickness of the PAC group was greater than that of the normal control group at 13 points before LPI (all P < 0.01). The difference in choroidal thickness was statistically significant before and after LPI (F=240.512, P < 0.001). The choroidal thickness of the PAC group at 1 week, 1 month, 3 months and 6 months after LPI was significantly thinner than that at pre-operation (P < 0.001). The choroidal thickness of all subjects in the two groups was negatively correlated with the depth of the central anterior chamber at SF, T1, T2, T3, S2, S3, I1, I2 and I3 (r=-0.249, -0.239, -0.416, -0.330, -0.184, -0.176, -0.189, -0.184, -0.160, P < 0.001). There was no correlation between choroidal thickness, intraocular pressure or axial length. Conclusions: The choroid in patients with PAC is thicker than in the normal group. The choroid in PAC patients became thinner after LPI surgery. Choroidal thickening may be one of the pathogenic factors of PACG. In addition, choroidal thickness plays a role in the early diagnosis of PAC and the disease observation and assessment of the
therapeutic effect of LPI.
Key words :
primary angle closure
YAG laser
iridotomy
choroidal thickness
optical coherence tomography
收稿日期: 2018-01-08
基金资助: 浙江省医药卫生科研项目(2018238020)
通讯作者:
陈伟(ORCID:0000-0002-9924-4560),Email:chennweii@hotmail.com
[1]
Cheng JW, Cheng SW, Ma XY, et al. The prevalence of primary
[1]
Cheng JW, Cheng SW, Ma XY, et al. The prevalence of primary
glaucoma in mainland China: A systematic review and metaanalysis.
J Glaucoma, 2013, 22(4): 301-306. DOI: 10.1097/IJG.
glaucoma in mainland China: A systematic review and metaanalysis.
J Glaucoma, 2013, 22(4): 301-306. DOI: 10.1097/IJG.
0b
013e31824083ca.
0b
013e31824083ca.
[2]
Foster PJ, Buhrmann R, Quigley HA, et al. The definition and
[2]
Foster PJ, Buhrmann R, Quigley HA, et al. The definition and
classification of glaucoma in prevalence surveys. Br J Ophthalmol,
20
02, 86(2): 238-242. DOI: 10.1136/bjo.86.2.238.
classification of glaucoma in prevalence surveys. Br J Ophthalmol,
20
02, 86(2): 238-242. DOI: 10.1136/bjo.86.2.238.
[3]
Huang W, Wang W, Gao X, et al. Choroidal thickness in the
[3]
Huang W, Wang W, Gao X, et al. Choroidal thickness in the
subtypes of angle closure: An EDI-OCT study. Invest Ophthalmol
Vis Sci, 2013, 54(13): 7849-7853. DOI: 10.1167/iovs.13-13158.
subtypes of angle closure: An EDI-OCT study. Invest Ophthalmol
Vis Sci, 2013, 54(13): 7849-7853. DOI: 10.1167/iovs.13-13158.
[4]
江媛, 陈伟, 陈增辉, 等. 三维眼前节分析系统与超声生物显
[4]
江媛, 陈伟, 陈增辉, 等. 三维眼前节分析系统与超声生物显
微镜测量急性原发性闭角型青光眼前房深度的一致性分析.
中华眼视光学与视觉科学杂志, 2013, 15(10): 616-619. DOI:
微镜测量急性原发性闭角型青光眼前房深度的一致性分析.
中华眼视光学与视觉科学杂志, 2013, 15(10): 616-619. DOI:
10
3760/cma.j.issn.1674-845X.2013.10.009
10
3760/cma.j.issn.1674-845X.2013.10.009
[5]
Thomas R, George R, Parikh R, et al. Five year risk of
[5]
Thomas R, George R, Parikh R, et al. Five year risk of
progression of primary angle closure suspects to primary angle
progression of primary angle closure suspects to primary angle
closure: a population based study. Br J Ophthalmol, 2003, 87(4):
closure: a population based study. Br J Ophthalmol, 2003, 87(4):
45
0-454.
45
0-454.
[6]
Thomas R, Parikh R, Muliyil J, et al. Five-year risk of progression
[6]
Thomas R, Parikh R, Muliyil J, et al. Five-year risk of progression
of primary angle closure to primary angle closure glaucoma: a
of primary angle closure to primary angle closure glaucoma: a
population-based study. Acta Ophthalmol Scand, 2003, 81(5): 480-
population-based study. Acta Ophthalmol Scand, 2003, 81(5): 480-
485.
485.
[7]
Zhou M, Wang W, Ding X, et al. Choroidal thickness in fellow
[7]
Zhou M, Wang W, Ding X, et al. Choroidal thickness in fellow
eyes of patients with acute primary angle-closure measuredby enhanced depth imaging spectral-domain optical coherence
eyes of patients with acute primary angle-closure measuredby enhanced depth imaging spectral-domain optical coherence
tomography. Invest Ophthalmol Vis Sci, 2013, 54(3): 1971-
19
78. DOI: 10.1167/iovs.12-11090.
tomography. Invest Ophthalmol Vis Sci, 2013, 54(3): 1971-
19
78. DOI: 10.1167/iovs.12-11090.
[8]
Wang W, Zhou M, Huang W, et al. Does acute primary
[8]
Wang W, Zhou M, Huang W, et al. Does acute primary
angle-closure cause an increased choroidal thickness? Invest
Ophthalmol Vis Sci, 2013, 54(5): 3538-3545. DOI: 10.1167/
angle-closure cause an increased choroidal thickness? Invest
Ophthalmol Vis Sci, 2013, 54(5): 3538-3545. DOI: 10.1167/
iovs.13-11728.
iovs.13-11728.
[9]
Wang N, Wang B, Zhai G, et al. A method of measuring anterior
[9]
Wang N, Wang B, Zhai G, et al. A method of measuring anterior
9
chamber volume using the anterior segment optical coherence
9
chamber volume using the anterior segment optical coherence
tomographer and specialized software. Am J Ophthalmol, 2007,
14
3(5): 879-881. DOI: 10.1016/j.ajo.2006.11.051.
tomographer and specialized software. Am J Ophthalmol, 2007,
14
3(5): 879-881. DOI: 10.1016/j.ajo.2006.11.051.
[10]
张兆康, 高健生, 梁玉, 等. 健康气功八段锦对原发性青光眼
[10]
张兆康, 高健生, 梁玉, 等. 健康气功八段锦对原发性青光眼
患者心理状态及生存质量的影响. 中国中医眼科杂志, 2016,
26
(4): 234-238. DOI: 10.13444/j.cnki.zgzyykzz.2016.04.007.
患者心理状态及生存质量的影响. 中国中医眼科杂志, 2016,
26
(4): 234-238. DOI: 10.13444/j.cnki.zgzyykzz.2016.04.007.
[11]
Ku JY, Nongpiur ME, Park J, et al. Qualitative evaluation of the
[11]
Ku JY, Nongpiur ME, Park J, et al. Qualitative evaluation of the
iris and ciliary body by ultrasound biomicroscopy in subjects
with angle closure. J Glaucoma, 2014, 23(9): 583-588. DOI:
iris and ciliary body by ultrasound biomicroscopy in subjects
with angle closure. J Glaucoma, 2014, 23(9): 583-588. DOI:
10
1097/IJG.0b013e318285fede.
10
1097/IJG.0b013e318285fede.
[12]
Arora KS, Jefferys JL, Maul EA, et al. The choroid is thicker
[12]
Arora KS, Jefferys JL, Maul EA, et al. The choroid is thicker
in angle closure than in open angle and control eyes. Invest
Ophthalmol Vis Sci, 2012, 53(12): 7813-7818. DOI: 10.1167/
in angle closure than in open angle and control eyes. Invest
Ophthalmol Vis Sci, 2012, 53(12): 7813-7818. DOI: 10.1167/
iovs.12-10483.
iovs.12-10483.
[13]
Quigley HA, Friedman DS, Congdon NG. Possible mechanisms
[13]
Quigley HA, Friedman DS, Congdon NG. Possible mechanisms
of primary angle-closure and malignant glaucoma. J Glaucoma,
20
03, 12(2): 167-180. DOI: 10.1097/00061198-200304000-
of primary angle-closure and malignant glaucoma. J Glaucoma,
20
03, 12(2): 167-180. DOI: 10.1097/00061198-200304000-
00
013.
00
013.
[14]
赵海滨, 刘二华, 谭钢, 等. 应用频域相干光断层深度增强成
[14]
赵海滨, 刘二华, 谭钢, 等. 应用频域相干光断层深度增强成
像技术测量正常人眼黄斑区脉络膜厚度的研究. 中国现代医
学杂志, 2013, 23(29): 100-103. DOI: 10.3969/j.issn.1005-8982.
像技术测量正常人眼黄斑区脉络膜厚度的研究. 中国现代医
学杂志, 2013, 23(29): 100-103. DOI: 10.3969/j.issn.1005-8982.
20
13.29.022.
20
13.29.022.
[15]
Spaide RF, Koizumi H, Pozzoni MC, et al. Enhanced depth
imaging spectral-domain optical coherence tomography. Am J
[15]
Spaide RF, Koizumi H, Pozzoni MC, et al. Enhanced depth
Ophthalmol, 2008, 146(4): 496-500. DOI: 10.1016/j.ajo.2008.
imaging spectral-domain optical coherence tomography. Am J
05
032.
Ophthalmol, 2008, 146(4): 496-500. DOI: 10.1016/j.ajo.2008.
[16]
Ikuno Y, Kawaguchi K, Nouchi T, et al. Choroidal thickness
05
032.
[16]
Ikuno Y, Kawaguchi K, Nouchi T, et al. Choroidal thickness
in healthy Japanese subjects. Invest Ophthalmol Vis Sci, 2010,
51
(4): 2173-2176. DOI: 10.1167/iovs.09-4383.
[17]
李略, 杨治坤, 董方田. 应用增强深部成像的相干光断层扫描
in healthy Japanese subjects. Invest Ophthalmol Vis Sci, 2010,
51
(4): 2173-2176. DOI: 10.1167/iovs.09-4383.
测量正常人脉络膜厚度. 中华眼科杂志, 2012, 48(9): 819-823.
DOI: 10.3760/cma.j.issn.0412-4081.2012.09.012.
[17]
李略, 杨治坤, 董方田. 应用增强深部成像的相干光断层扫描
[18]
Ding X, Li J, Zeng J, et al. Choroidal thickness in healthy
测量正常人脉络膜厚度. 中华眼科杂志, 2012, 48(9): 819-823.
DOI: 10.3760/cma.j.issn.0412-4081.2012.09.012.
Chinese subjects. Invest Ophthalmol Vis Sci, 2011, 52(13):
95
55-9560. DOI: 10.1167/iovs.11-8076.
[18]
Ding X, Li J, Zeng J, et al. Choroidal thickness in healthy
[19]
禹海, 夏国英, 高明宏. 频域干涉光断层扫描观察正常人眼
Chinese subjects. Invest Ophthalmol Vis Sci, 2011, 52(13):
95
55-9560. DOI: 10.1167/iovs.11-8076.
脉络膜厚度的研究. 中国实用眼科杂志, 2012, 30(1): 69-72.
DOI: 10.3760/cma.j.issn.1006-4443.2012.01.016.
[19]
禹海, 夏国英, 高明宏. 频域干涉光断层扫描观察正常人眼
[20]
朱岩, 汪军, 孟忻, 等. 糖尿病视网膜病变黄斑部脉络膜厚
度临床分析. 中华眼底病杂志, 2014, 30(2): 132-135. DOI:
脉络膜厚度的研究. 中国实用眼科杂志, 2012, 30(1): 69-72.
DOI: 10.3760/cma.j.issn.1006-4443.2012.01.016.
10
3760/cma.j.issn.1005-1015.2014.02.004.
[20]
朱岩, 汪军, 孟忻, 等. 糖尿病视网膜病变黄斑部脉络膜厚
度临床分析. 中华眼底病杂志, 2014, 30(2): 132-135. DOI:
[21]
欧阳博文, 孙明甡, 王萌萌, 等. 三岁龄恒河猴眼球生物学参
10
3760/cma.j.issn.1005-1015.2014.02.004.
数研究. 中华眼视光学与视觉科学杂志, 2017, 19(4): 204-210.
DOI: 10.3760/cma.j.issn.1674-845X.2017.04.003.
[21]
欧阳博文, 孙明甡, 王萌萌, 等. 三岁龄恒河猴眼球生物学参
[22]
Margolis R, Spaide RF. A pilot study of enhanced depth imaging
数研究. 中华眼视光学与视觉科学杂志, 2017, 19(4): 204-210.
DOI: 10.3760/cma.j.issn.1674-845X.2017.04.003.
optical coherence tomography of the choroid in normal eyes.
Am J Ophthalmol, 2009, 147(5): 811-815. DOI: 10.1016/j.ajo.
[22]
Margolis R, Spaide RF. A pilot study of enhanced depth imaging
20
08.12.008.
optical coherence tomography of the choroid in normal eyes.
Am J Ophthalmol, 2009, 147(5): 811-815. DOI: 10.1016/j.ajo.
[23]
Li Z, Wang W, Zhou M, et al. Enhanced depth imaging-optical
20
08.12.008.
coherence tomography of the choroid in moderate and severe
[23]
Li Z, Wang W, Zhou M, et al. Enhanced depth imaging-optical
primary angle-closure glaucoma. Acta Ophthalmol, 2015, 93(5):
e349-355. DOI: 10.1111/aos.12616.
coherence tomography of the choroid in moderate and severe
[24]
Quigley HA, Broman AT. The number of people with glaucoma
primary angle-closure glaucoma. Acta Ophthalmol, 2015, 93(5):
e349-355. DOI: 10.1111/aos.12616.
worldwide in 2010 and 2020. Br J Ophthalmol, 2006, 90(3):
26
2-267. DOI: 10.1136/bjo.2005.081224.
[24]
Quigley HA, Broman AT. The number of people with glaucoma
[25]
陈威, 郭竞敏, 赵寅, 等. 原发性开角型青光眼患者有氧运动
worldwide in 2010 and 2020. Br J Ophthalmol, 2006, 90(3):
26
2-267. DOI: 10.1136/bjo.2005.081224.
前后脉络膜厚度变化分析. 国际眼科杂志, 2017, 17(4): 604-
[25]
陈威, 郭竞敏, 赵寅, 等. 原发性开角型青光眼患者有氧运动
60
9. DOI: 10.3980/j.issn.1672-5123.2017.4.04.
[26]
韩立坡, 韩瑶, 许厚银, 等. 原发性闭角型青光眼激光虹膜周
前后脉络膜厚度变化分析. 国际眼科杂志, 2017, 17(4): 604-
60
9. DOI: 10.3980/j.issn.1672-5123.2017.4.04.
[26]
韩立坡, 韩瑶, 许厚银, 等. 原发性闭角型青光眼激光虹膜周
边切开术前后昼夜眼压波动及眼部血流动力学研究. 河北
医科大学学报, 2010, 31(11): 1335-1338. DOI: 10.3969/j.issn.
10
07-3205.2010.11.021.
边切开术前后昼夜眼压波动及眼部血流动力学研究. 河北
医科大学学报, 2010, 31(11): 1335-1338. DOI: 10.3969/j.issn.
[27]
林仲, 李思珍, 牟大鹏, 等. 原发性闭角型青光眼激光周边虹
10
07-3205.2010.11.021.
膜切开术后前房角形态变化的一年观察. 眼科, 2011, 20(1):
[27]
林仲, 李思珍, 牟大鹏, 等. 原发性闭角型青光眼激光周边虹
膜切开术后前房角形态变化的一年观察. 眼科, 2011, 20(1):
38
-43.
38
-43.
[28]
Dada T, Mohan S, Sihota R, et al. Comparison of ultrasound
[28]
Dada T, Mohan S, Sihota R, et al. Comparison of ultrasound
biomicroscopic parameters after laser iridotomy in eyes with
biomicroscopic parameters after laser iridotomy in eyes with
primary angle closure and primary angle closure glaucoma. Eye
(Lond), 2007, 21(7): 956-961. DOI: 10.1038/sj.eye.6702360.
primary angle closure and primary angle closure glaucoma. Eye
(Lond), 2007, 21(7): 956-961. DOI: 10.1038/sj.eye.6702360.
[29]
Yoshikawa M, Akagi T, Nakanishi H, et al. Longitudinal change
[29]
Yoshikawa M, Akagi T, Nakanishi H, et al. Longitudinal change
in choroidal thickness after trabeculectomy in primary openangle
glaucoma patients. Jpn J Ophthalmol, 2017, 61(1): 105-
11
2. DOI: 10.1007/s10384-016-0482-9.
in choroidal thickness after trabeculectomy in primary openangle
[30]
Kara N, Baz O, Altan C, et al. Changes in choroidal thickness,
glaucoma patients. Jpn J Ophthalmol, 2017, 61(1): 105-
11
2. DOI: 10.1007/s10384-016-0482-9.
[30]
Kara N, Baz O, Altan C, et al. Changes in choroidal thickness,
axial length, and ocular perfusion pressure accompanying
axial length, and ocular perfusion pressure accompanying
successful glaucoma filtration surgery. Eye (Lond), 2013, 27(8):
94
0-945. DOI: 10.1038/eye.2013.116.
successful glaucoma filtration surgery. Eye (Lond), 2013, 27(8):
94
0-945. DOI: 10.1038/eye.2013.116.
[31]
Usui S, Ikuno Y, Uematsu S, et al. Changes in axial length and
[31]
Usui S, Ikuno Y, Uematsu S, et al. Changes in axial length and
choroidal thickness after intraocular pressure reduction resulting
from trabeculectomy. Clin Ophthalmol, 2013, 7: 1155-1161. DOI:
choroidal thickness after intraocular pressure reduction resulting
10
2147/OPTH.S44884.
from trabeculectomy. Clin Ophthalmol, 2013, 7: 1155-1161. DOI:
10
2147/OPTH.S44884.
[1]
唐敏, 罗丽颖, 傅扬. 屈光参差性弱视儿童治疗前后黄斑微循环的变化 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(7): 512-517.
[2]
程荣, 余川, 王玉倩, 等. iOCT在玻璃体视网膜手术中的指导作用 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(7): 530-535.
[3]
于焕凯, 黄天皓, 施策, 等. 基于SS-OCT探究急性高糖对明暗适应中视网膜脉络膜血流及结构改变的影响 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(4): 264-270.
[4]
李琦, 金赣英, 胡东瑞, 等. 应用OCTA评估白内障患者超声乳化吸除术后视网膜厚度及血流密度的变化 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(4): 271-277.
[5]
黄聪聪, 符爱存, 于世傲, 等. 正视儿童脉络膜厚度的分布特征及相关影响因素 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(2): 125-132.
[6]
唐玉玲, 廖萱, 谭青青, 等.. 扫频OCTCASIA2测量白内障患者术前晶状体与术后人工晶状体偏心和倾斜的相关性 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(6): 434-440.
[7]
张芬, 刘新婷, 吴文凤, 等.. 高度近视人群视盘周围血流密度与神经纤维层厚度的变化特征 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(5): 321-328.
[8]
代小婵,张静,鞠雅晗,等 .. 近视发生发展中脉络膜变化的研究进展 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(5): 395-400.
[9]
徐治成,史学锋. 弱视眼底光学相干断层扫描的研究进展 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(12): 950-955.
[10]
翟晶,俞雪婷,方伟,等. 恒定性和间歇性外斜视黄斑区视网膜血流密度及厚度特征 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(11): 854-861.
[11]
赖瑶,王耀华,廖洪斐. 光学相干断层扫描血流成像在眼科应用的研究现状 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(11): 876-880.
[12]
杜虹, 王月麟, 戴荣平, 等. 视网膜大动脉瘤的多模态眼底影像和疾病 特征 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(1): 46-51.
[13]
宋云红, 王绍莉. 折叠式人工玻璃体球囊植入严重视网膜脱离眼内的OCT特征 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(1): 52-57.
[14]
张海宁 王晓刚 贾志杰 张亚琴. 糖尿病视网膜病变不同分期角膜及角膜上皮厚度变化 [J]. 中华眼视光学与视觉科学杂志, 2021, 23(9): 687-693.
[15]
宫月 郝玉华 沈宁 席瑞洁 史金鑫 刘影. 青年近视人群视网膜劈裂的OCT特征 [J]. 中华眼视光学与视觉科学杂志, 2021, 23(8): 576-582.