相干光断层扫描动态分析中心性浆液性脉络膜视网膜病变激光治疗后恢复情况  

Observe the progress of central serous chorioretinopathy following laser photocoagulation by OCT

作　　者：王智[1] 陈炜[1] 黄渝侃[1] 彭冲[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院眼科,武汉430022

出　　处：《临床眼科杂志》2008年第4期305-307,共3页Journal of Clinical Ophthalmology

摘　　要：目的应用相干光断层扫描(OCT)动态观察氩激光治疗中心性浆液性脉络膜视网膜病变(CSC)后黄斑水肿吸收情况,探索其在CSC患者预后追踪中的优势。方法对经荧光素眼底血管造影(FFA)确诊的42例(42只眼)CSC患者进行氩激光光凝治疗,分别于治疗前、治疗后3d,1、2、4、6周行OCT及FFA检查。结果OCT适用面广,可清楚的发现神经上皮及色素上皮脱离情况,OCT动态随访观察显示激光光凝治疗3d时黄斑水肿无明显吸收,1周后,黄斑水肿开始明显吸收,2例患者(4.76%)水肿完全吸收;2周后5例患者(11.90%)水肿完全吸收;4周后17例患者(40.48%)水肿完全吸收;6周后34例(81.95%)水肿完全吸收。结论激光光凝治疗能缩短CSC病程,OCT为非侵入性,观察效果好,能定量分析黄斑水肿程度,比FFA更加直观、准确。更重要的是,OCT能对预后过程进行动态、精确、灵敏的追踪。Objective Optical coherence tomography （OCT） can record the morphology changes in quantity. In this study we observed the transform of maeular edema in patients with CSC who underwent argon laser photocoagulation, to evaluate the effeet of OCT in deteet and follow up. Methods Forty-two eyes of 42 patients with CSC underwent argon laser photocoagadation and follow up by OCT and FFA at 3day,lweek,2week,4week and 6 week. Results The OCT imagines show serous detaehment of CSC,ineluding serous neurosensory detaehment and serous pigment epithelial detachment . After photocoagttlation maettlar edema is not be absorbed obviously in 3days, it absorbs obviously after 1 week. Two patients＇ （4. 76% ） maettlar edema eomplete absorption in one week,5 （ 11.90% ） in 2 week , 17 （40.48%） in 4 week and 34 （ 81. 95% ） in 6 week. Conclusion Argon laser photoeoagulation was a effeetive treatment for CSC. OCT was a good examination for CSC, it was more exaet than FFA and could quantitative analysis maettlar edema , with these advantages OCT was suit for follow up and showed us a elear and aeeurate process.

关 键 词：中心性浆液性脉络膜视网膜病变 氩激光 OCT FFA 

分 类 号：R779.63[医药卫生—眼科]