三维光学相干断层扫描对45岁以下非典型的中心性浆液性脉络膜视网膜病变的诊断价值  

Valve of 3D-OCT in diagnose of non-classic central serous chorioretinopathy in patients younger than 45

作　　者：张炯[1] 喻长泰[1] 张莹[1] 朱斌[1] 

机构地区：[1]武汉爱尔眼科医院,430064

出　　处：《临床眼科杂志》2009年第5期388-391,共4页Journal of Clinical Ophthalmology

摘　　要：目的探讨三维光学相干断层扫描(3D-OCT)对45岁以下的非典型中心性浆液性脉络膜视网膜病变(CSC)的诊断价值。方法搜集荧光素眼底血管造影(FFA)结果为非典型CSC的患者81例(81只眼),应用TOP-CON3DOCT-1000+COLOR对其进行OCT检查,根据OCT图像对FFA进行分析。结果81只眼FFA的3D-OCT结果如下:(1)荧光影略扩大("微漏")43只眼,提示神经上皮浅脱离(部分伴色素上皮浆液性脱离),而3D-OCT扫描却发现了5只眼有纤维血管性色素上皮脱离;(2)荧光影未见扩大共31只眼,其荧光积存和透见荧光提示色素上皮脱离和色素上皮脱失,而3D-OCT却发现了纤维血管性色素上皮脱离3只眼。(3)FFA中未见任何异常荧光7只眼,而3D-OCT扫描却发现了6只眼为限局性浆液性神经上皮浅脱离。81只眼中,3D-OCT扫描结果,发现了FFA中未显示的病灶,包括纤维血管性色素上皮脱离8只眼和限局性浆液性神经上皮浅脱离6例,共14只眼,占总数的17.3(。结论3D-OCT以快捷断层扫描方式,能发现45岁以下的非典型的CSC所包含的深层隐匿的病灶,有利于视网膜和脉络膜的疾病的准确诊断。Objective To analyze valve of 3D-OCT in diagnosis of non-classic central serous chorioretinopathy in patients younger than 45. Methods TOPCON 3DOCT-1000 ＋ COLOR were used to collect and analyze the results of nonclassic central serous ehoriorefinopathy in 81 patients younger than 45, after phatographys of fundus fluoreseein angiogmphy. Results The results of FFA of non-classic central serous chorioretinopathy in 81 patients patients younger than 45 ：（1）with less flnourosensory leaking in 43 patients ： neurosensory detachment （ or detachment of retinal pigment epithelium } ; 3D- OCT with retinal pigment epithelium widening rip proliferation in 5 cases; （2）fluorescein with no enlarging in 31 eases： retinal pigment epithelium detachment or defect , 3D-OCT with retinal pigment epithelium widening rip proliferation in 3 eases ;（3） no fluorescence in 7 eases： but 3DOCT with neurosensory detachment atent leaking in 6 eases o Of 81 patients , 14 eases have been found with atent disease, 17.3 %. Conclusion 3D-OCT is more accurate in diagnosis of non-classic central serous chorioretinopathy in patients younger than 45.

关 键 词：三维光学相干断层扫描 脉络膜/视网膜病变 诊断价值 

分 类 号：R774.1[医药卫生—眼科] R774.5[医药卫生—临床医学]