Ⅱ,Ⅲ度酸碱烧伤后对视网膜神经纤维层厚度的影响
|
摘要
目的探讨Ⅱ,Ⅲ度酸碱烧伤后对视网膜神经纤维层(RNFL)厚度的影响。方法收集本院2015年1月到2018年6月因Ⅱ,Ⅲ度酸碱烧伤住院并且能够回访的患者,分为酸烧伤组和碱烧伤组。患者中未烧伤眼做为正常组。收集各组眼压、平均RNFL及颞上、鼻上、鼻侧、鼻下、颞下、颞侧的RNFL厚度。结果各组眼压没有明显统计学差别(P=0. 973)。平均RNFL及颞上、鼻上、鼻侧、颞侧RNFL厚度没有统计学差别(P均大于0. 05)。但是鼻下及颞下方三组的RNFL有统计学差别(分别是P=0. 008,P=0. 000)。结论Ⅱ,Ⅲ度酸碱烧伤后对眼压没有明显影响,但是却会导致部分象限的RNFL厚度变薄。
Objective To investigate the effect of grade Ⅱ-Ⅲ chemical burns( acid/alkali) on retinal nerve fiber layer( RNFL) thickness. Methods Patients with grade Ⅱ-Ⅲ chemical burns who revisited our hospital between January 2015 and June 2018 were recruited. Eyes with chemical burns were further divided into two groups,the acid chemical burns group and alkaline chemical burns group. While eyes without chemical burns were defined as the normal group. Intraocular pressure,average RNFL thickness,as well as RNFL thickness in the superior temporal,superior nasal,nasal,inferior nasal,inferior temporal and temporal quadrants were measured. Results Intraocular pressure showed no statistical difference among the three groups( P = 0. 973). No statistical differences were found in the average RNFL thickness or RNFL thickness in the superior temporal,superior nasal,nasal and temporal quadrants among the three groups( all with P> 0. 05). But there were statistical differences among the three groups in inferior temporal and inferior nasal RNFL thickness( P = 0. 008 and 0. 000,respectively). Conclusions Grade Ⅱ-Ⅲ chemical burns do not affect intraocular pressure,but it would result in a thinner RNFL thickness in some quadrants.
Objective To investigate the effect of grade Ⅱ-Ⅲ chemical burns( acid/alkali) on retinal nerve fiber layer( RNFL) thickness. Methods Patients with grade Ⅱ-Ⅲ chemical burns who revisited our hospital between January 2015 and June 2018 were recruited. Eyes with chemical burns were further divided into two groups,the acid chemical burns group and alkaline chemical burns group. While eyes without chemical burns were defined as the normal group. Intraocular pressure,average RNFL thickness,as well as RNFL thickness in the superior temporal,superior nasal,nasal,inferior nasal,inferior temporal and temporal quadrants were measured. Results Intraocular pressure showed no statistical difference among the three groups( P = 0. 973). No statistical differences were found in the average RNFL thickness or RNFL thickness in the superior temporal,superior nasal,nasal and temporal quadrants among the three groups( all with P> 0. 05). But there were statistical differences among the three groups in inferior temporal and inferior nasal RNFL thickness( P = 0. 008 and 0. 000,respectively). Conclusions Grade Ⅱ-Ⅲ chemical burns do not affect intraocular pressure,but it would result in a thinner RNFL thickness in some quadrants.
引文
[1]李凤鸣.中华眼科学.第2版.北京:人民卫生出版社,2005:3162-3167.
[2] Paschalis EI,Zhou C,Lei F,et al. Mechanisms of retinal damage after ocular alkali burns[J]. Am J Pathol,2017,187(6):1327-1342.
[3] Cade F,Paschalis EI,Regatieri CV,et al. Alkali burn to the eye:protection using TNF-αinhibition[J]. Cornea,2014,33(4):382-389.
[4] Schrage NF,Langefeld S,Zschocke J,et al. Eye burns:an emergency and continuing problem[J]. Burns,2000,26(8):689-699.
[5]刘杏,凌运兰,骆荣江.应用光学相干断层成像术测量正常人视网膜神经纤维层厚度[J].中华眼科杂志,2000,36(5):362.
[6]徐峻,吴志兵,查登玲.正常人视盘周围不同直径的神经纤维层厚度量.临床眼科杂志,2013,21(5):385-388.
[7] Sani RY,Abdu L,Pam V. Retinal nerve fiber layer thickness measurements of normal Northern Nigerian adults using optical coherence tomography[J]. Ann Afr Med,2016,15(2):52-57.
[8] Lin MP,Ekiolu,Mudumbai RC,et al. Glaucoma in patients with ocular chemical burns[J]. Am J Ophthalmol,2012,154(3):481-485.
[9] Cade F,Grosskreutz CL,Tauber A,et al. Glaucoma in eyes with severe chemical burn,before and after keratoprosthesis[J]. Cornea,2011,30:1322-1327.
[10] Miyamoto F,Sotozono C,Ikeda T,et al. Retinal cytokine response in mouse alkali-burned eye[J]. Ophthalmic Res,1998,30(3):168-171.
[11] Lin MP,Ekiolu U,Mudumbai RC,et al. Glaucoma in patients with ocular chemical burns[J]. Am J Ophthalmol,2012,154(3):481-485. e1.
[2] Paschalis EI,Zhou C,Lei F,et al. Mechanisms of retinal damage after ocular alkali burns[J]. Am J Pathol,2017,187(6):1327-1342.
[3] Cade F,Paschalis EI,Regatieri CV,et al. Alkali burn to the eye:protection using TNF-αinhibition[J]. Cornea,2014,33(4):382-389.
[4] Schrage NF,Langefeld S,Zschocke J,et al. Eye burns:an emergency and continuing problem[J]. Burns,2000,26(8):689-699.
[5]刘杏,凌运兰,骆荣江.应用光学相干断层成像术测量正常人视网膜神经纤维层厚度[J].中华眼科杂志,2000,36(5):362.
[6]徐峻,吴志兵,查登玲.正常人视盘周围不同直径的神经纤维层厚度量.临床眼科杂志,2013,21(5):385-388.
[7] Sani RY,Abdu L,Pam V. Retinal nerve fiber layer thickness measurements of normal Northern Nigerian adults using optical coherence tomography[J]. Ann Afr Med,2016,15(2):52-57.
[8] Lin MP,Ekiolu,Mudumbai RC,et al. Glaucoma in patients with ocular chemical burns[J]. Am J Ophthalmol,2012,154(3):481-485.
[9] Cade F,Grosskreutz CL,Tauber A,et al. Glaucoma in eyes with severe chemical burn,before and after keratoprosthesis[J]. Cornea,2011,30:1322-1327.
[10] Miyamoto F,Sotozono C,Ikeda T,et al. Retinal cytokine response in mouse alkali-burned eye[J]. Ophthalmic Res,1998,30(3):168-171.
[11] Lin MP,Ekiolu U,Mudumbai RC,et al. Glaucoma in patients with ocular chemical burns[J]. Am J Ophthalmol,2012,154(3):481-485. e1.