研究目的
To measure choroidal thickness in healthy eyes using enhanced depth imaging optical coherence tomography and compare it with cases of retinitis pigmentosa.
研究成果
Choroidal thickness varies with age and location, being thicker centrally and thinning nasally more than temporally. It is significantly reduced in RP patients compared to healthy controls, correlating with worse visual acuity. Further research is needed to determine if choroidal changes are a cause or effect of RP.
研究不足
Observational study design limits causal inferences. Small sample size may affect generalizability. Potential for measurement variability despite grader protocols. Does not establish causality between choroidal thinning and RP progression.
1:Experimental Design and Method Selection:
A case-control study design was used. Spectral domain optical coherence tomography (SD-OCT) with enhanced depth imaging (EDI) protocol was employed to measure choroidal thickness.
2:Sample Selection and Data Sources:
60 healthy patients without retinal or choroidal disease or glaucoma were included. 40 eyes of 20 RP patients and 40 eyes of 20 age- and refraction-matched healthy controls (selected from the 60 healthy patients) were analyzed.
3:List of Experimental Equipment and Materials:
Spectralis HRA and OCT device (Heidelberg Engineering, Heidelberg, Germany) with EDI protocol.
4:Experimental Procedures and Operational Workflow:
Choroidal thickness was measured vertically from Bruch's membrane to the choroid/sclera junction at 500 μm intervals up to 2000 μm nasal and temporal from the fovea. Measurements were performed by two independent graders, with mean values used if differences were less than 1 μm, or joint measurement for larger differences.
5:Data Analysis Methods:
Quantitative data analyzed using means and standard deviations. Choroidal thickness compared between groups using Student's t-test. Correlations with age and visual acuity assessed using Pearson correlation coefficient.
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