光学相干断层扫描技术诊断RPE脱离  

Optical coherence tomography of retinal pigment epithelium detachment in macular area

作　　者：谢娟[1] 李西玲[1] 韩玉萍[1] 王宏[1] 

机构地区：[1]中国山西省眼科医院,030002

出　　处：《国际眼科杂志》2004年第1期107-108,共2页International Eye Science

摘　　要：目的:观察黄斑区视网膜色素上皮(RPE)脱离的光学相干断层扫描(OCT)图像特征。方法:并发黄斑区RPE脱离的眼底病病例共48例(52眼),进行黄斑区OCT检测,观察其图像特征,并结合FFA结果进行分析。结果:根据形态特征,RPE脱离可分为两种,浆液性RPE脱离和出血性RPE脱离。前者见于部分中心性浆液性脉络膜病例(16例)、特发性浆液性RPE脱离(7例)、部分视网膜下新生血管病变的病例(10例),后者仅见于部分视网膜下新生血管病变的病例(16例)。结论:OCT能够直观形象地显示RPE脱离的形态特征,准确地测量RPE脱离的范围大小。AIM: To observe the characteristics of optical coherence tomography (OCT) of retinal pigment epithelium (RPE) detachment.· METHODS: OCT examination was performed on 48 cases (52 eyes) of fundus disease complicated with macular RPE detachment. Their OCT images were observed and analyzed together with the FFA results.· RESULTS: The patients were graded into two types according to their morphologic characteristics: serous RPE detachment and hemorrhagic RPE detachment. The former appeared in central serous chorioretinopathy (16 cases), idiopathic serous RPE detachment (7 cases) and subretinal neovascular disease (10 cases); the latter could only be seen in cases of subretinal neovascular disease (16 cases).· CONCLUSION: OCT can directly display the morphological characteristics of RPE detachment and can exactly measure the range of RPE detachment.·

关 键 词：光学相干断层扫描技术 诊断 RPE脱离 OCT图像 视网膜色素上皮 

分 类 号：R774.1[医药卫生—眼科] R445[医药卫生—临床医学]