不同眼位和屈光状态儿童视网膜血管管径的比较  

Comparison of the retinal vascular calibers changes in children with different strabismus and different refractive status

作　　者：王晓贞 付晶 周金琼 王文莹 李继鹏 

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科学与视觉科学重点实验室,100005

出　　处：《中国斜视与小儿眼科杂志》2017年第4期1-3,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：首都医科大学基础临床科研合作课题(项目编号:14JL04);北京市科学技术委员会资助(项目编号:Z141107002514030)

摘　　要：目的比较不同眼位和屈光状态儿童视网膜血管管径的变化。方法正位视儿童与斜视术前儿童视网膜血管管径比较研究分为两组:正位视儿童组95例168眼,斜视术前儿童组143例265眼;不同眼位儿童的研究分为三组:内斜视组40例73眼,外斜视组84例159眼,正位视组19例33眼。不同屈光状态儿童的比较研究分为三组:近视组33例59眼,远视组31例52眼,正视组31例57眼。以上各组儿童均以视盘为中心进行彩色眼底照相,应用IVAN定量测量软件对视网膜血管进行测量。正位视儿童组与斜视术前儿童组的各参数测量值比较采用独立样本t检验;不同屈光状态以及不同眼位儿童的各参数测量值的比较采用单因素方差分析。结果正位视儿童组(168眼)CRAE、CRVE、AVR分别与斜视术前儿童组(265眼)相比,差异均无统计学意义(P值分别为0.157,0.437,0310)。内斜视儿童组(73眼)、外斜视儿童组(159眼)、正位视儿童组(33眼)三组间CRAE、CRVE、AVR比较及两两比较,差异均无统计学意义(P值分别为0.214、0.201、0.733)。近视儿童组(59眼)、远视儿童组(52眼)、正视儿童组(57眼)三组间CRAE、CRVE、AVR比较及两两比较,差异均无统计学意义(P值分别为0.935、0.988、0.928)。结论视网膜血管管径在不同眼位和屈光状态儿童之间没有明显差别。Objective To compare the retinal vascular calibers changes quantitatively in children with different strabismus and different refractive status. Methods 95 orthophoria children 168 eyes and 143 strabismus children 265 eyes were enrolled to compare CRAE, CRVE and AVR. 40 esotropia children 73 eyes, 84 exotropia children 159 eyes and 19 orthophoria children 33 eyes were enrolled to compare CRAE, CRVE and AVR in different strabismus groups. 33 myopia children 59 eyes,31 hyperopia children 52 eyes and 31 emmetropia children57 eyes were enrolled to compare CRAE, CRVE and AVR in different refractive status groups. Color fundus photographs were taken in each eye of different groups. The retinal vascular calibers were measured using computerassisted quantitative assessment software（IVAN）. Independent-samples t test was performed to compare the CRAE,CRVE and AVR between normal children and strabismus children groups. One-way analysis of variance was performed to compare CRAE, CRVE and AVR in children with different strabismus and different refractive status.Results There were no significant differences on CRAE, CRVE and AVR between normal and strabismus children,P values were 0.157,0.437,and 0.310, respectively. There were no significant differences on CRAE,CRVE and AVR among the different strabismus groups, P values were 0.214,0.201,and 0.733, respectively. There were no significant differences on CRAE,CRVE and AVR among the different refractive status groups, P values were 0.935, 0.988, and 0.928, respectively. Conclusions There were no differences of the retinal vascular calibers among the different refractive status and strabismus children.

关 键 词：视网膜血管管径 计算机图像分析 儿童 斜视 屈光不正 

分 类 号：R779.7[医药卫生—眼科]