OCT和OCTA在特发性黄斑前膜术后视力预测中的研究进展  

Research Progress of OCT and OCTA in Predicting Visual Acuity after Idiopathic Macular Membrane Surgery

作　　者：王春光 唐爱东 Chunguang Wang;Aidong Tang(First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医科大学第一附属医院,江西赣州341000

出　　处：《医学研究前沿》2025年第3期10-13,共4页Frontiers of Medical Research

摘　　要：光学相干断层扫描(OCT)和光学相干断层扫描血管成像(OCTA)作为无创、高分辨率的成像技术,在特发性黄斑前膜(IERM)术后视力预测中展现出重要价值。本文综述了近年来OCT和OCTA在IERM术后视力预测中的研究进展,涵盖了黄斑中心凹厚度(CFT)、光感受器内外节(IS/OS)完整性、嵌合体带(IZ)完整性、黄斑中心凹轮廓与形态、光感受器外节(PROS)长度等多个参数,以及这些参数与术后视力恢复之间的相关性。此外,本文还探讨了OCTA在评估黄斑区视网膜血流变化中的应用,为临床工作者确定手术时机、评估手术效果及预测术后视力提供了科学依据。Optical coherence tomography(OCT)and optical coherence tomography angiography(OCTA),as non-invasive and highresolution imaging techniques,have shown significant value in predicting postoperative visual acuity in idiopathic macular membrane(IERM).This article reviews the research progress of OCT and OCTA in predicting postoperative visual acuity after IERM in recent years,covering multiple parameters such as macular foveal thickness(CFT),integrity of photoreceptor inner and outer segments(IS/OS),integrity of chimeric zone(IZ),contour and morphology of macular fovea,length of photoreceptor outer segment(PROS),and their correlation with postoperative visual recovery.In addition,this article also explores the application of OCTA in evaluating changes in retinal blood flow in the macular area,providing a scientific basis for clinical workers to determine the timing of surgery,evaluate surgical outcomes,and predict postoperative vision.

关 键 词：光学相干断层扫描 光学相干断层扫描血管成像 特发性黄斑前膜 术后视力预测 黄斑区视网膜结构 

分 类 号：R774.5[医药卫生—眼科]