光相干断层扫描成像在早产儿视网膜病变中的应用  

Progress of optical coherence tomography in retinopathy of prematurity

作　　者：梁超群(综述)[1] 陈长征(审校)[1] Liang Chaoqun;Chen Changzheng(Department of Ophthalmology,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院眼科中心,武汉430060

出　　处：《中华实验眼科杂志》2019年第6期493-496,共4页Chinese Journal Of Experimental Ophthalmology

摘　　要：早产儿视网膜病变(ROP)是导致儿童视力损害的重要原因之一,目前其诊断主要依赖广域数字化视网膜成像系统(RetCam)和双目间接检眼镜检查。近年来,手持式光相干断层扫描成像(OCT)及光相干断层扫描血管成像(OCTA)技术在临床中应用广泛,这有助于观察到黄斑囊样改变(CMCs)、黄斑中心凹形成不良、黄斑中心凹血管发育异常和视网膜前膜等ROP异常改变。OCT应用于ROP的随访观察,可测量脉络膜及视网膜各层厚度、黄斑中心凹血管密度等指标,评估ROP本身及相关治疗对黄斑、视网膜与脉络膜发育和视力等的影响,为更全面地认识和了解ROP提供有价值的信息。Retinopathy of prematurity (ROP) is one of the important causes of visual impairment in children.The current diagnosis relies mainly on the wide-field digital retinal imaging system (RetCam) and binocular indirect ophthalmoscopy.In recent years, the applications of handheld optical coherence tomography (OCT) and optical coherence tomography (OCTA) techniques in ROP have helped to observe some characteristics in ROP, such as cystoid macular changes (CMCs), shallower foveal depression, macular epiretinal membrane and other special clinical manifestations.OCT is used for follow-up observation of ROP, it can measure the retinal layers, choroidal thickness, macular foveal vascular density and other indicators, and can evaluate the therapeutic effect on macular, retina and choroidal development and visual acuity.OCT promotes a better understanding of ROP, and helps us to gain more information about ROP.

关 键 词：光相干断层扫描成像 早产儿视网膜病变 黄斑 视网膜 脉络膜 视力 综述 

分 类 号：R774.1[医药卫生—眼科]