玻璃体黄斑牵引综合征的临床及光相干断层扫描图像特征  

Clinical characteristics and features of images of optical coherence tomography in vitreomacular traction syndrome

作　　者：马昱[1] 姜燕荣[1] 殷春悦[1] 黎晓新[1] 

机构地区：[1]北京大学人民医院眼科,100044

出　　处：《中华眼底病杂志》2005年第2期86-89,共4页Chinese Journal of Ocular Fundus Diseases

摘　　要：目的　观察玻璃体黄斑牵引综合征的光相干断层扫描 (OCT)图像特征及临床意义。　方法　回顾分析经 OCT、荧光素眼底血管造影及 B型超声检查确诊并经手术证实的 2 5例玻璃体黄斑牵引综合征患者的临床资料 ,观察玻璃体黄斑牵引综合征的 OCT图像特征。　结果　玻璃体黄斑牵引综合征的 OCT图像主要表现为玻璃体反射光带牵拉视网膜 ,2 5例大致可分为 5种特征 ,其中 ,玻璃体黄斑牵引综合征合并黄斑囊样水肿 10例 ,玻璃体黄斑牵引综合征合并视网膜脱离 5例 ,玻璃体黄斑牵引综合征合并黄斑裂孔 3例 ,玻璃体黄斑牵引综合征合并黄斑视网膜前膜 6例 ,玻璃体黄斑牵引综合征合并黄斑劈裂 1例。　结论　玻璃体黄斑牵引综合征的 OCT图像主要表现为玻璃体反射光带牵拉视网膜 ;OCT检查对玻璃体黄斑牵引综合征的诊断及追踪病情发展有重要作用。Objective To observe the characteristics of the images of optical coherence tomography (OCT) performed on the patients with vitreomacular traction syndrome and its clinical significance. Methods The clinical data of 25 patients with vitreomacular traction syndrome diagnosed by OCT, fundus fluorescein angiography, and B-scan ultrasonography and confirmed by surgical treatment were retrospectively analyzed. The features of images of OCT in vitreomacular traction syndrome were observed. Results Five types were found in the images of OCT in the patients with vetreomacular traction syndrome. The main characteristic of the images of OCT in the patients with vitreomacular traction was the highly reflective band of the vitreous posterior cortex inservion at fovea. In 25 patients, vitreomacular traction associated with macular edema was found in 10, macular hole in 3, macular epiretinal membrane in 6, retinoschisis in 1, and retinal detachment in 5. Conclusion OCT is a potential powerful toll for detecting and monitoring vitreomacular traction syndrome.

关 键 词：玻璃体 牵引 综合征 黄斑 OCT 光相干断层扫描 牵拉 合并 目的观 结论 

分 类 号：R776.4[医药卫生—眼科]