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临床上显著的糖尿病性黄斑水肿患者黄斑鼻颞侧毛细血管血流量明显不对称 被引量:1

Exaggerated relative nasal-temporal asymmetry of macular capillary blood flow in patients with clinically significant diabetic macular oedema
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摘要 Aims: To compare the macular capillary blood flow of patients with clinically significant diabetic macular oedema (DMO)-with that of non-diabetic subjects and to determine the relation between blood flow and capillary leakage in patients with DMO. Methods: The sample comprised 45 non-diabetic subjects (mean age 59 years) and 18 type 2 patients with clinically significant DMO (mean age 60 years). Macular capillary blood flow measurements were acquired using the Heidelberg retina flowmeter (HRF) and a 10° × 2.5° scan field centred on the fovea. Fluorescein angiographywas undertaken on each of the diabetic patients after the completion of HRF measurements. Results: Temporal macular capillary blood flow was significantly lower for the patients with clinically significant DMO compared with age matched non-diabetic subjects (ANCOVA, P=0.0011)-while relative nasal-temporal asymmetry of macular capillary blood flow was significantly higher (P=0.0125). Nasal-temporal asymmetry ofmacular capillary blood flowwas significantly higher for the patients with DMO and capillary leakage within the scan area (two tailed t test, P=0.0071). Macular capillary blood flow was always lower in areas of DMO and capillary leakage. Conclusion: Capillary blood flow was reduced in areas of DMO and capillary leakage, suggesting the presence of a localised perturbation of capillary blood flow regulation. Aims: To compare the macular capillary blood flow of patients with clinically significant diabetic macular oedema (DMO)-with that of non-diabetic subjects and to determine the relation between blood flow and capillary leakage in patients with DMO. Methods: The sample comprised 45 non-diabetic subjects (mean age 59 years) and 18 type 2 patients with clinically significant DMO (mean age 60 years). Macular capillary blood flow measurements were acquired using the Heidelberg retina flowmeter (HRF) and a 10° × 2.5° scan field centred on the fovea. Fluorescein angiographywas undertaken on each of the diabetic patients after the completion of HRF measurements. Results: Temporal macular capillary blood flow was significantly lower for the patients with clinically significant DMO compared with age matched non-diabetic subjects (ANCOVA, P=0.0011)-while relative nasal-temporal asymmetry of macular capillary blood flow was significantly higher (P=0.0125). Nasal-temporal asymmetry ofmacular capillary blood flowwas significantly higher for the patients with DMO and capillary leakage within the scan area (two tailed t test, P=0.0071). Macular capillary blood flow was always lower in areas of DMO and capillary leakage. Conclusion: Capillary blood flow was reduced in areas of DMO and capillary leakage, suggesting the presence of a localised perturbation of capillary blood flow regulation.
机构地区 School of Optometry
出处 《世界核心医学期刊文摘(眼科学分册)》 2005年第6期22-22,共1页 Digest of the World Core Medical Journals:Ophthalmology
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