视网膜色素上皮炎的OCT图像与FAA图像对比性研究 (pdf)

    [摘要] 目的 通过光学相干断层扫描(optical coherence tomography,OCT)和眼底荧光血管造影(fundus fluorescein angiography,FFA)观察视网膜色素上皮炎(retinal pigment epithelitis)患者视网膜影像学特征。 方法 对临床诊断为视网膜色素上皮炎的82例145眼进行光学相干断层扫描检查，观察其病变区形态并测量病灶的高度和宽度，同时与眼底荧光血管造影对照。 结果 视网膜色素上皮炎(retinal pigment epithelitis)的OCT图像，共有6种表现：(1)色素上皮断裂并视网膜下新生血管膜;(2)色素上皮脱离合并神经上皮脱离；(3)“沙漏”样神经上皮脱离；(4)隐匿性色素上皮脱离;(5)色素上皮脱失;(6)色素上皮增殖。 结论 OCT同时辅助FFA可准确地诊断视网膜色素上皮炎。

    [关键词] 视网膜色素上皮炎;光学相干断层扫描;眼底荧光血管造影

    Comparative study on images of OCT and FAA about retinal pigment epithelitis

    ZHANG Jiong，ZHANG Ying，PAN Lin，et al.Aier Eye Hospital,Wuhan 430060,China

    [Abstract] Objective To observe the characteristic of RPE in patients with retinal pigment epithelitis by optical coherence tomography (OCT) and fundus fluorescein angiography(FFA). Methods Eighty-two patients were examined to measure the height and length of Retina by OCT,the images are compared with FFA. Results OCT images of Retina in pations with retinal pigment epithelitis have six kinds of expressions:(1)retinal pigment epithelium rip with choroidal neovascularization(CNV);(2)serous detachment of pigment epithelial (EPD) with neurosensory detachment;(3)detachment of pigment epithelial have a ”hourglass“shaped appearance;(4)atent detachment of retinal pigment epithelium;(5)retinal pigment epithelium transmission defects;(6)Proliferation of retinal pigment epithelial. Conclusion OCT with an auxiliary of FFA is more accurate in diagnosis of retinal pigment epithelitis. ......