眼科SHIH, YUNG-FENGYUNG-FENGSHIHHUANG, JAU-KANGJAU-KANGHUANGHUANG, SHEAU-HUEYSHEAU-HUEYHUANGHO, TZYY-CHANGTZYY-CHANGHOLIN, LUKE, LONG-KUANGLUKE, LONG-KUANGLINHUNG, POR-TYINGPOR-TYINGHUNGHOU, PING-KANGPING-KANGHOU施永豐黃兆康黃曉蕙何子昌林隆光洪伯廷侯平康2009-01-192018-07-122009-01-192018-07-121995http://ntur.lib.ntu.edu.tw//handle/246246/99449 Ocular pulse amplitude is expressed as the fluctuation of an intraocular pressure within each cardiac cycle, a phenomenon observed during measurement of intraocular pressure. The pulse is generated by the choroidal blood flow . Myopic maculopathy is characterized by thinning and atrophy of the retina and choroid, suggesting that choroidal blood flow may be an important factor contributing to it. We used Alcon Pneumotonography to study the ocular pulse amplitude of myopic patients and analyzed its correlations with myopia and myopic maculopathy. Totally 258 patients( 516 eyes) were included in this study. The results show that a decrease of ocular pulse amplitude correlated directly with increase of age, refractive error, axial length, the size of the crescent and the degree of myopic maculopathy. But, the change of ocular pulse amplitude did not correlated with the intraocular pressure. The greater of the myopia and the longer of axial length, the lower of ocular pulse amplitude and the more severe the maculopathy. Ocular pulse amplitude of less than 0.5mmHg is a high risk factor which can be used to predict the likelihood of myopic maculopathy. Thus, these results may indicate that a circulatory disturbance may cause the development of myopic maculopathy.en-USOcular Pulse Amplitude and Its Relation to Myopia and Myopic Maculopathy眼球脈波和近視及近視黃斑部病變之關係