Changes in subfoveal choroidal thickness before and after dilation in adolescents with mild and moderate myopia observed with enhanced depth imaging spectral-domain optical coherence tomography
HAO Jun-sheng, WANG Xin-feng, LI Xing-zhen, DING Ming-hong, MA Xian-sheng
Objective To study the choroidal thickness of the macula subfovea using enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT) before dilation, after dilation, the following day after dilation. Methods Prospective clinical study. Fifty-eight patients (116 eyes) were dilated with tropicamide eye drops. All patients were examined with EDI-OCT before dilation, after dilation and the following day after dilation. Then, the eyes were scanned with a 8.8 mm scan line in the horizontal and vertical directions. Finally, the subfoveal choroidal thickness and the retinal thickness of the fovea were measured. Data were analyzed using independent t test and paired t test. Results Choroidal thickness after dilation was thinner than before dilation. The difference was statistically significant (right eye: t= 4.305, P<0.01; left eye: t=5.007, P<0.01). Choroidal thickness after dilation was thinner than that measured the next day after dilation, and the difference was statistically significant (right eye: t=-3.237, P<0.01; left eye: t=-3.011, P<0.01). However, the difference between choroidal thickness before dilation and the next day after dilation was not statistically significant (right eye: t=-0.300, P>0.05; left eye: t=-0.333, P>0.05). There was no significant difference between binocular retinal values measured before dilation, after dilation, or the following day after dilation. Conclusion The choroid becomes thinner after using tropicamide eye drops when measured by EDI-OCT, which is noninvasive and intuitive to observe the subtle changes in living tissue after drug use.
郝军生,王心凤,李兴珍,丁明红,马先生. 频域光学相干断层扫描图像增强技术检测轻中度近视青少年散瞳前后黄斑中心凹下脉络膜厚度的变化[J]. 中华眼视光学与视觉科学杂志, 2013, 15(10): 624-627.
HAO Jun-sheng,WANG Xin-feng,LI Xing-zhen,DING Ming-hong,MA Xian-sheng. Changes in subfoveal choroidal thickness before and after dilation in adolescents with mild and moderate myopia observed with enhanced depth imaging spectral-domain optical coherence tomography. Chinese Journal of Optometry Ophthalmology and Visual Science, 2013, 15(10): 624-627. DOI: 10.3760/cma.j.issn.1674-845X.2013.10.011
Maruko I, Lida T, Sngano Y, et al. Subfoveal choroidal thickness after treatment of Vogt-koyanagi-Harada disease.Retina,2011,31:510-517.
[11]
Maruko I, Lida T, Sugano Y, et al. Subfoveal retinal and choroidal thickness after verteporfin photodynamic therapy for polypoidal choroidal vasculopathy. Am J Ophthalmol,2011,151:594-603.