眼挫伤黄斑损害的光学相干断层扫描观察  

Optical coherence tomography of the macular injury caused by ocular contusion

作　　者：谢娟[1] 李西玲[1] 唐义灵[1] 

机构地区：[1]山西省眼科医院,山西太原030002

出　　处：《眼外伤职业眼病杂志》2004年第5期298-299,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　观察眼挫伤所致黄斑损害的光学相干断层扫描 (opticalcoherencetomography ,OCT)图像特征。方法　对 64眼经检眼镜或荧光素眼底血管造影 (FFA)诊断为眼挫伤黄斑损害者进行OCT检查 ,观察其图像特征。结果　 5眼表现为神经上皮浆液性脱离 ;4眼表现为神经上皮层间水肿 ;4眼表现为出血性色素上皮脱离 ;6眼表现为视网膜内出血 ;8眼表现为神经上皮层变薄 ;3眼表现为黄斑区增生膜形成 :2 6眼表现为黄斑区裂孔形成 ,其中 2 4眼为全层裂孔 ,仅 2眼为板层裂孔 ;1眼为视网膜脱离 ;7眼黄斑区OCT图像未发现明显异常。结论　眼挫伤黄斑损害的OCT图像可以提供黄斑区解剖结构改变的重要信息 ,有助于对病变进行诊断。Objective To observe the characteristics of optical coherence tomography (OCT) in the macular injure caused by ocular contusion. Methods Total of 64 cases with clinical diagnosis of macular injure caused by ocular contusion were examined with OCT.Results In the 64 eyes, serous neuroepithelium detachment was found in 5 eyes, inter neuroepithelium edema was found in 4 eyes, hemorrhagic retinal pigment epithelium detachment was found in 4 eyes, inter retinal hemorrhagic was found in 6 eyes, the retinal thickness in macular was thiner than normal in 8 eyes, proliferative vitreoretinopathy was found in 3 eyes, macular hole could be seen in 26 eyes, full thickness macular hole was found in 24 eyes, lamellar macular hole was found in 2 eyes, retinal detachment could be seen in 1 eye, OCT images were normal in 7 eyes.Conclusion OCT can display the morphological characters of macular injure caused by ocular contusion directly and visually,and we could acknowledge the disease more completely and directly by OCT.

关 键 词：光学相干断层扫描 眼挫伤 

分 类 号：R779.14[医药卫生—眼科]