广角视网膜成像系统及彩色多普勒超声成像在永存原始玻璃体增生症中的应用  

Apply of RetCam Ⅱand color Doppler imaging in persistent hyperplastic primary vitreous

作　　者：韩梅[1] 赵堪兴[1] 张桐梅 李岩[1] 高建民[1] 刘冬[1] 

机构地区：[1]天津医科大学眼科临床学院天津市眼科医院天津市眼科研究所天津市眼科学与视觉科学重点实验室,300020

出　　处：《中华眼科杂志》2016年第5期362-365,共4页Chinese Journal of Ophthalmology

摘　　要：目的探讨广角视网膜成像系统（RetCam Ⅱ）及彩色多普勒超声成像在诊断永存原始玻璃体增生症（PHPV）中的意义。方法回顾性研究。分析2009至2014年在天津市眼科医院就诊的9例（9只眼）患儿，经RetCamⅡ眼底照相和彩色多普勒超声成像确诊为PHPV。结果9例患儿中男性6例，女性3例，年龄2个月至5岁，均为足月儿，均可见白内障，RetCamⅡ检查可见：视乳头色苍白，有白色纤维条带与视乳头相连，向前延伸位于玻璃体腔内，与晶状体后囊膜相连，局部晶状体混浊。彩色多普勒超声成像可见：玻璃体腔内条索样回声影内显示动脉血流，由视乳头向晶状体后延伸，或晶状体后部及玻璃体前部见回声光团，呈漏斗状，前端与睫状体及晶状体相连，后端连接视神经。结论Retcam Ⅱ联合彩色多普勒超声成像是一种安全、经济、有效的PHPV诊断方法。Objective To observe the manifestations of RetCam Ⅱ and color Doppler imaging （CDI） in a retrospective case series of persistent hyperplastic primary vitreous （PHPV）. Methods Retrospective study. The medical records of 9 eyes/9 patients with PHPV went through RetCam Ⅱ and CDI from 2009 to 2014. Results There were 6 young boys and 3 young girl in this study, age from 2 months to 5 years. All the patients were born at full term. 9 eyes had complication （cataract）. The manifestations of RetCam Ⅱ： There were pale in optic disc. There were white fibre rod connected with optic disc, then prolonged to vitreous cavity, connected with posterior lens capsule. CDI showed arterial blood stream signal in band-shaped echogenic structure within vitreous cavity, prolonged to lens from the optic disc, or showed funnel-shaped echogenic mass at the posterior surface of lens and anterior of vitreous body, adhered to ciliary body, lens and the optic disc. Conclusions PHPV is congenital ocular anomalies because of a failure of primary vitreous and the hyaloids vascular system to regress. It manifests as unilateral and boys. We diagnosis PHPV by RetCam Ⅱ and CDI.

关 键 词：永存原始玻璃体增生症 检眼镜检查 超声检查 多普勒 彩色 

分 类 号：R445.1[医药卫生—影像医学与核医学] R776.4[医药卫生—诊断学]