摘要
目的探讨三维光学相干断层扫描(3D-OCT)对45岁以上的黄斑区浆液性神经上皮脱离的眼底病变的诊断价值。方法搜集双目间接检眼镜和眼底荧光血管造影(fundus fluorescein angiogmphy,FFA)包含的浆液性神经上皮脱离的患者51例,应用TOPCON3DOCT-1000+COLOR对其进行三维光学相干断层扫描(opitical coherence tomograph,OCT)检查,必要时结合吲哚菁绿血管造影(indocyanine green angiography,ICGA)进行分析。结果51例浆液性神经上皮层脱离的OCT结果显示如下:(1)中心性浆液性脉络膜视网膜病变(CSC),27例(占52.9%);(2)渗出型老年黄斑变性(AMD),12例(占23.5%);(3)息肉样脉络膜血管病变(PCV),5例(占9.8%);(4)色素上皮失代偿(REPD),7例(占13.7%)。脉络膜新生血管的定位和息肉样脉络膜血管病变的形态观察应结合ICGA。结论3D-OCT快捷地从三维空间进行断层扫描,能发现45岁以上的黄斑区浆液性神经上皮脱离所包含的眼底病变,有利于对疾病诊断。
Objective To analyze the value of 3D-OCT in diagnosis of macular serous neuroepithelial detachment in patients older than 45 years old.Methods TOPCON 3D-OCT-1000+COLOR were used to collect and analyze the results of macular serous neuroepithelial detachment in 51 patients older than 45 years old after fundus fluorescein angiography(FFA);and indocyanine green angiography(ICGA)if necessary.Results The results of FFA is as the follows:1)central serous chorioretinopathy(CSC)was found in 27 patients(52.9%);2)age-related macular degeneration(AMD)was found in 12 patients(23.5%);3)polypoidal choroidal vasculopathy(PCV)was found in 5 patients(9.8%);4)retinal pigment epithelial decompensation(REPD)was found in 7 patients(13.7%).Conclusions 3D-OCT is more accurate in diagnosis of macular serous neuroepithelial detachment in patients older than 45.
作者
张炯
喻长泰
朱斌
张友华
ZHANG Jiong;YUChang-tai;Zhu Bin;ZHANG You-hua(WUhan Aier Eye Hospital,WU han 430063,China)
出处
《中国实用眼科杂志》
CSCD
北大核心
2010年第4期371-373,共3页
Chinese Journal of Practical Ophthalmology
