Cilioretinal Arteries in Highly Myopic Eyes: A Photographic Classification System and Its Association With Myopic Macular Degeneration.
Cilioretinal Arteries in Highly Myopic Eyes: A Photographic Classification System and Its Association With Myopic Macular Degeneration.
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高度近视眼的睫状体视网膜动脉：摄影分类系统及其与近视黄斑变性的关联
DOI：
10.3389/fmed.2020.595544
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发表时间：
2020
影响因子：
3.9
通讯作者：
Zhu X
中科院分区：
文献类型：
--
作者：
Meng J;Wei L;Zhang K;He W;Lu Y;Zhu X
目的：建立睫状视网膜动脉的影像学分型，并探讨其与近视性黄斑变性（MMD）的关系。方法：1,692例患者的1,692只高度近视眼纳入研究。睫状视网膜动脉的存在被确定眼底照片，并提出了摄影分类。根据国际META-PM分类标准对MMD进行分类。分析睫状视网膜动脉及其分型与MMD及视力的关系。结果：245眼（14.5%）有睫状视网膜动脉。根据其可见分支是否到达中央凹区，将睫状视网膜动脉分为4类（颞侧“饼叉”型35.92%，颞侧“带状”型53.47%，“多发”型6.53%，“鼻型”型4.08%）和3种分布方式。有睫状视网膜动脉者MMD ≥3级者明显少于无睫状视网膜动脉者（P < 0.01），视力明显高于无睫状视网膜动脉者（P < 0.01）。多元线性回归分析显示，年龄较小、男性、眼轴较短、睫状视网膜动脉存在与高度近视眼的视力较好相关（均P < 0.05）。“鼻”类中MMD ≥3级者较多，视力较差（P < 0.05），而“多”类中无MMD ≥3级者。睫状体视网膜动脉到达中心凹区者，其MMD ≥3级者明显少于未到达中心凹区者（P < 0.05），视力明显高于未到达中心凹区者（P < 0.05）。结论：我们提出了一个摄影分类睫状视网膜动脉有良好的临床相关性的视觉功能。睫状视网膜动脉可能对MMD提供保护。
Purpose: To develop a photographic classification for cilioretinal arteries and to investigate its association with myopic macular degeneration (MMD). Methods: One thousand six hundred ninety-two highly myopic eyes of 1,692 patients were included. The presence of a cilioretinal artery was determined by fundus photographs, and a photographic classification was proposed. MMD was classified according to the International META-PM Classification. Associations of the cilioretinal artery and its classifications with MMD and visual acuity were analyzed. Results: Of the eyes tested, 245 (14.5%) had a cilioretinal artery. The cilioretinal arteries were classified into four categories (temporal “cake-fork,” 35.92%; temporal “ribbon,” 53.47%; “multiple,” 6.53%; “nasal,” 4.08%) and 3 distributions based on whether its visible branches reached the central foveal area. Eyes with cilioretinal arteries had significantly less MMD of grade ≥3 and better visual acuity than those without (P < 0.01). Multiple linear regression analysis showed that younger age, male sex, shorter axial length, and the presence of a cilioretinal artery were associated with better visual acuity in highly myopic eyes (all P < 0.05). The “nasal” category presented more MMD with grade ≥3 and worse visual acuity than the other categories (P < 0.05), whereas the “multiple” category contained no eyes with MMD grade ≥3. The cilioretinal arteries reaching the central foveal area showed less MMD of grade ≥3 and better visual acuity than those not (P < 0.05). Conclusions: We propose a photographic classification for cilioretinal arteries that has good clinical relevance to visual functions. The cilioretinal artery may potentially afford protection against MMD.
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影响因子：
13.7
作者：
Iwase, Aiko;Araie, Makoto;Kitazawa, Yoshiaki
通讯作者：
Kitazawa, Yoshiaki
影响因子：
0.8
作者：
Inan, U. U.;Yavas, G.;Ozturk, F.
通讯作者：
Ozturk, F.
DOI：
10.1136/bjophthalmol-2017-311266
发表时间：
2018-07
期刊：
The British journal of ophthalmology
影响因子：
--
作者：
Fricke TR;Jong M;Naidoo KS;Sankaridurg P;Naduvilath TJ;Ho SM;Wong TY;Resnikoff S
通讯作者：
Resnikoff S
影响因子：
8.1
作者：
Snyder, Kiersten;Yazdanyar, Amirfarbod;Yiu, Glenn
通讯作者：
Yiu, Glenn
影响因子：
13.7
作者：
Holden, Brien A.;Fricke, Timothy R.;Resnikoff, Serge
通讯作者：
Resnikoff, Serge