共聚焦激光扫描检眼镜眼底成像与传统眼底彩色照相对老年人黄斑前膜检出结果比较  

Comparison of the screening efficiency of epiretinal membrane using confocal scanning laser ophthalmoscope imaging and color fundus camera in elderly people

作　　者：霍妍佼[1] 郭彦[1] 杨丽红[1] 魏文斌[1] 

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科学与视觉科学重点实验室,100730

出　　处：《中华眼底病杂志》2016年第6期615-618,共4页Chinese Journal of Ocular Fundus Diseases

基　　金：国家自然科学基金（81272981）;北京市自然科学基金（7151003、7112031）;北京市医院管理局临床医学发展专项经费（ZYLX201307）;北京市医院管理局临床医学发展专项一“扬帆”计划（ZYLX201307）;首都医科大学附属北京同仁医院科研基金（2015-YJJ-ZZL-011）

摘　　要：目的 比较共聚焦激光扫描检眼镜（cSLO）眼底成像与传统眼底彩色照相对老年人黄斑前膜（ERM）的检出结果.方法 行常规体检的退休职工184人363只眼纳入研究.其中,男性153人304只眼,女性31人59只眼.年龄47～92岁,平均年龄74.35岁.所有受检者均行传统眼底彩色照相、cSLO眼底成像及高分辨率光相干断层扫描（HD-OCT）检查.对比观察传统眼底彩色照相和cSLO眼底成像的图像质量评分以及两种检查设备对ERM检出与HD-OCT检出的阳性符合率.结果 363只眼中,HD-OCT检出ERM 122只眼,检出率为33.6％;传统眼底彩色照相检出ERM 33只眼,检出率为9.1％;cSLO眼底成像检出ERM 76只眼,检出率为20.9％.传统跟底彩色照相ERM检出与HD-OCT ERM检出的阳性符合率为27.0％;cSLO眼底成像ERM检出与HD-OCT ERM检出的阳性符合率为62.3％.cSLO眼底成像ERM检出与HD-OCT ERM检出的阳性符合率明显高于传统眼底彩色照相,差异有统计学意义（x2=30.81,P＜0.001）.结论 对于老年人群,cSLO眼底成像ERM检出率及其与HD-OCT ERM检出的阳性符合率均较传统眼底彩色照相更高.Objective To determine the positive results of confocal scanning laser ophthalmoscope （cSLO） based retinal imaging and traditional color fundus camera in screening epiretinal membrane （ERM） in elderly people.Methods A total of 184 retired staffs from certain company （363 eyes） were included in this study,153 were men （304 eyes） and 31 were women （59 eyes）.The mean age was 74.35 years （range 47-92 years）.All subjects were underwent fundus imaging using cSLO technology and traditional color fundus camera and Cirrus high definition optical coherence tomography （HD-OCT）.The imaging quality of two technologies were analyzed and compared according to the evaluation standards.The positive accordance rate was used to compare between two modes fundus imaging （cSLO technology and traditional color fundus camera） and HD-OCT.Results In 363 eyes,the positive number of screening ERM using HD-OCT was 122 eyes （33.6%）;the positive number of traditional color fundus camera was 33 eyes （9.1%）;the positive number of cSLO imaging was 76 eyes （20.9 %）.The HD-OCT positive accordance rate of screening ERM using traditional color fundus camera and cSLO technology were 27.0% vs.62.3%.The HD-OCT positive accordance rate of screening ERM using cSLO technology was significant higher than traditional color fundus camera （x2 =30.81,P 〈 0.001）.Conclusion The HD-OCT positive accordance rate of screening ERM in elderly people was higher using cSLO technology than using traditional color fundus camera.

关 键 词：视网膜疾病/诊断 黄斑 体层摄影术 光学相干 

分 类 号：R774.5[医药卫生—眼科]