CAJ | 학술논문

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 fluoresecin angiogmphy,FFA)包含的浆液性神经上皮脱离的患者51例,应用TOPCON 3DOCT-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.
목적 탐토삼유광학상간단층소묘(3D-OCT)대45세이상적황반구장액성신경상피탈리적안저병변적진단개치.방법 수집쌍목간접검안경화안저형광혈관조영(fundus fluoresecin angiogmphy,FFA)포함적장액성신경상피탈리적환자51례,응용TOPCON 3DOCT-1000+COLOR대기진행삼유광학상간단층소묘(opitical coherence tomograph,OCT)검사,필요시결합신타정록혈관조영(indocyanine green angiography,ICGA)진행분석.결과 51례장액성신경상피층탈리적OCT결과현시여하:(1)중심성장액성맥락막시망막병변(CSC),27례(점52.9%);(2)삼출형노년황반변성(AMD),12례(점23.5%);(3)식육양맥락막혈관병변(PCV),5례(점9.8%);(4)색소상피실대상(REPD),7례(점13.7%).맥락막신생혈관적정위화식육양맥락막혈관병변적형태관찰응결합ICGA.결론 3D-OCT쾌첩지종삼유공간진행단층소묘,능발현45세이상적황반구장액성신경상피탈리소포함적안저병변,유리우대질병진단.
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.