OCT与OCTA在颈动脉狭窄导致的慢性眼缺血性疾病中的应用  

Application of OCT and OCTA to chronic ocular ischemic diseases caused by carotid stenosis

作　　者：陈功 沈玺[1] CHEN Gong;SHEN Xi(Department of Ophthalmology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院眼科,上海200025

出　　处：《上海交通大学学报（医学版）》2021年第8期1109-1113,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海申康医院发展中心临床科技创新项目(SHDC12016116)。

摘　　要：颈动脉狭窄可以导致慢性眼缺血性疾病。该类疾病常表现为静脉淤滞性视网膜病变和眼缺血综合征,后者可引发新生血管性青光眼。目前,常用的辅助检查方法有荧光素眼底血管造影、吲哚菁绿血管造影、彩色多普勒血流成像和颈动脉影像学检查。近年来,光学相干断层扫描技术(optical coherence tomography,OCT)和光学相干断层扫描血流成像技术(optical coherence tomography angiography,OCTA)作为新兴的无创、快速、高分辨率的眼科辅助检查技术,已逐步应用于颈动脉狭窄导致的慢性眼缺血性疾病的诊疗中。该文主要对OCT和OCTA在颈动脉狭窄导致的慢性眼缺血性疾病中的应用进行综述。Carotid stenosis is one of the major causes of chronic ocular ischemic diseases,which are often manifested as venous stasis retinopathy and ocular ischemic syndrome,and the latter can lead to neovascular glaucoma.At present,fundus fluorescein angiography,indocyanine green angiography,color Doppler flow imaging and carotid artery imaging help to establish the diagnosis.Recently,optical coherence tomography(OCT)and optical coherence tomography angiography(OCTA)have been gradually applied to make diagnosis and follow-up in chronic ocular ischemic diseases caused by carotid stenosis as novel,non-invasive,rapid and high-resolution techniques.This review summarizes recent applications of OCT and OCTA to chronic ocular ischemic diseases caused by carotid stenosis.

关 键 词：颈动脉狭窄 眼缺血性疾病 光学相干断层扫描技术 光学相干断层扫描血流成像技术 血管造影术 

分 类 号：R771.3[医药卫生—眼科]