OCT检查在外伤性黄斑裂孔中的应用  

Application of OCT in traumatic macular hole

作　　者：付文丽 刘利莉 郭冉阳 金芳 

机构地区：[1]中国河北省张家口市第四医院眼科,075000

出　　处：《国际眼科杂志》2017年第12期2348-2350,共3页International Eye Science

摘　　要：目的:观察光学相干断层成像技术(optical coherence tomography,OCT)在外伤性黄斑裂孔中的应用。方法:选择2015-01/2017-01来我院就诊的外伤性黄斑裂孔患者23例25眼,其中9眼未行手术治疗,16眼行手术治疗。采用OCT检查仪分析手术前后其图像特征。结果:外伤性黄斑裂孔患者OCT表现为神经上皮层部分或全层消失。均未见玻璃体后脱离,黄斑裂孔均未见牵引作用。其中黄斑部分缺损者4眼,黄斑全层裂孔者21眼。OCT检查发现全层黄斑裂孔表现:单纯性黄斑裂孔4眼,黄斑区全层裂开伴周围神经上皮水肿10眼,黄斑区全层裂孔伴神经上皮层局限性脱离7眼。25眼外伤性黄斑裂孔患者中,9眼未行手术治疗,其中7眼自行愈合;16眼行手术治疗,术后复查OCT显示裂孔愈合,其中12眼黄斑结构大致正常,视力平均提高了3行,4眼视网膜神经上皮层变薄,视力较术前没有明显改善。结论:OCT检查在外伤性黄斑裂孔的诊断和治疗中非常必要。AIM： To observe the application of optical coherence tomography（OCT）in the diseases of traumatic macular hole. METHODS： Twenty-five eyes of 23 patients with traumatic macular hole from January 2015 to January 2017 were enrolled in this study, including 9 eyes treated without surgeries, 16 eyes with surgeries. The image features were analyzed using OCT from ZEISS. RESULTS： The OCT characteristics in patients with traumatic macular hole were partial or full-thickness disappearance of the neuro-epithelium. Posterior vitreous detachment was not seen in the traumatic macular hole. OCT examination revealed that 4 eyes had partial detachment of macular hole and 21 eyes had full thickness detachment. Of the twenty-one eyes, 4 eyes had simple macular hole, 10 eyes had macular full-layer division with peripheral nerve epithelium edema, 7 eyes had the macular full-layer hole with the neuro-epithelium localized detachment. In the 25 eyes, 9 eyes did not undergo the surgery, of which 7 eyes were self-healing; 16 eyes were surgically treated. Postoperative OCT showed the macular structure were normal in 12 eyes with the visual acuity improved 3 lines; retinal nerve epithelium were thinning in 4 eyes, visual acuities were not significant improved after surgery. CONCLUSION： OCT examination is necessary for the diagnosis and treatment of traumatic macular hole.

关 键 词：光学相干断层成像技术 外伤性黄斑裂孔 

分 类 号：R779.1[医药卫生—眼科]