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光相干断层扫描及血管成像在糖尿病黄斑水肿诊疗中的应用研究现状 被引量:7

Progress of the application of optical coherence tomography and angiography in the diagnosis and treatment of diabetic macular edema
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摘要 糖尿病黄斑水肿(DME)是糖尿病视网膜病变患者中心视力丧失甚至失明的首要原因。相较于传统的FFA检查,OCT能快速获得高分辨率的三维立体图像,从而便捷地反映眼底组织的细节并实现定量测量。OCT血管成像(OCTA)作为一种新兴的血管成像技术,对观察视网膜及脉络膜不同层面的血管结构形态,量化一定范围内的血流密度及病灶面积有其无可比拟的优势。因此,结合OCT和OCTA的检查结果对DME患者进行形态学、血管及血流定性和定量分析,对DME的诊断及分型、指导治疗、评估预后具有指导性作用。 Diabetic macular edema is the leading cause of central vision loss and even blindness in diabetic retinopathy.Compared to FFA,OCT can obtain the high-resolution 3D image quickly,easily to reflect the details of the tissue and realize the quantitative measurement.As a novel technology,OCT angiography(OCTA)can display microvascular structure from different layers of retina and choroid,having its advantage of quantifying the vessel density and the lesion area.By detecting fundus morphology,quantifying and quantitating the retinal vessels and vessel density,the combination of OCT and OCTA could play a guiding role in diagnosis,classification,treatment and prognosis of diabetic macular edema.
作者 刘宝怡 杨大卫 吴乔伟 余洪华 Liu Baoyi;Yang Dawei;Wu Qiaowei;Yu Honghua(Guangdong Eye Institute,Department of Ophthalmology,Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510060,China;Southern Medical University,Guangzhou 510060,China)
出处 《中华眼底病杂志》 CAS CSCD 北大核心 2020年第1期65-69,共5页 Chinese Journal of Ocular Fundus Diseases
关键词 体层摄影术 光学相干 黄斑水肿 糖尿病视网膜病变/并发症 综述 Tomography optical coherence Macular edema Diabetic retinopathy/complications Review
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