›› 2014, Vol. 35 ›› Issue (12): 1391-1391.

• 论文 • 上一篇    下一篇

频域光相干断层扫描诊断玻璃体黄斑牵拉综合征的临床观察

崔月先;周娜磊;安建斌;段佳良;张斌;马景学   

  1. 河北医科大学第二医院眼科,河北 石家庄,050000
  • 发布日期:2014-12-25

DU Hong;HAO Jie;LU Jingchao;YANG Xiuchun;CUI Wei;LIU Fan

CUI Yuexian;ZHOU Nalei;AN Jianbin;DUAN Jialiang;ZHANG Bin;MA Jingxue   

  • Published:2014-12-25

摘要: 目的:观察玻璃体黄斑牵拉综合征(vitreomacular traction syndrome ,VMT)患眼的频域光相干断层扫描(spectral-domain optical coherence tomography ,SD-OCT)影像特征,探讨 SD-OCT 在此类病变诊断、随访过程中的意义、价值。方法分析临床诊断明确的80例80眼 VMT 患眼的 SD-OCT 影像,总结 VMT 的 SD-OCT 特征性改变。结果按照玻璃体牵拉严重程度、对黄斑结构的影响将其分为3级:1级(轻度)32例,SD-OCT 示黄斑受牵拉,但中心凹形态基本正常,玻璃体部分后脱离;2级(中度)25例,SD-OCT 示黄斑受牵拉隆起,中心凹凹陷消失,变平坦,玻璃体部分后脱离;3级(重度)23例,SD-OCT 示黄斑受牵拉隆起,“山峰”样突入玻璃体腔,玻璃体部分后脱离。结论 VMT 具有特征性的 SD-OCT 表现,SD-OCT 在 VMT 的诊断、随访、治疗时机的选择方面具有重要价值。

关键词: 玻璃体, 黄斑, 诊断

Abstract: ABSTRACT:Objective To observe the characteristics of vitreomacular traction syndrome (VMT)on spectral-domain optical coherence tomography (SD-OCT),and to investigate the significance of SD-OCT in the diagnosis and follow up of VMT.Methods We collected SD-OCT images of 80 eyes from 80 patients with clinical VMT,then summarized the features of VMT. Results Based on the vitreous traction severity and macular structure changes,we classified the SD-OCT into three degrees:stage 1 (mild degree,32 cases)normal central fovea,accompanied by posterior vitreous detachment(PVD)on SD-OCT;stage 2(moderate degree,25 cases)flattened central fovea by the drag of vitreous with posterior detachment;stage 3(severe degree,23 cases) macula tracted forward into vitreous cavity hill-like with vitreous adhesion at the macula. Conclusion The typical SD-OCT features of VMT make non-invasive SD-OCT the proper diagnostic and assessing measurement of VMT,and SD-OCT is of great help in diagnosis,follow up and choosing the appropriate treatment.

Key words: vitreous body, macula lutea, diagnosis

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