Ip M, Garza-Karren C, Duker J S, Reichel E, Swartz J C, Amirikia A, Puliafito C A
Retina Service, New England Eye Center, Tufts University School of Medicine, Boston, Massachusetts 02111, USA.
Ophthalmology. 1999 Mar;106(3):600-5. doi: 10.1016/S0161-6420(99)90123-9.
To assess the potential of optical coherence tomography (OCT) to differentiate retinoschisis from retinal detachment. Optical coherence tomography is a noninvasive, noncontact imaging method that produces high-resolution, cross-sectional images of ocular tissue.
Retrospective case series.
Thirteen eyes of 12 patients with the differential diagnosis of retinoschisis versus retinal detachment.
Differentiation between retinoschisis and retinal detachment was established from both ophthalmoscopic and OCT examinations.
Ability of OCT to differentiate retinoschisis from retinal detachment was measured.
Thirteen eyes of 12 patients with retinal elevation were examined with OCT. The cross-sectional view produced by OCT was effective in distinguishing retinoschisis from retinal detachment. Optical coherence tomography images of retinoschisis show a splitting of the neurosensory retina. The OCT images of retinal detachment show separation of full-thickness neurosensory retina from the retinal pigment epithelium band. The OCT images correlated with the clinical impression in all 13 cases.
Based on this series of cases, OCT is a potentially useful new test that may be used to distinguish retinoschisis from rhegmatogenous retinal detachment.
评估光学相干断层扫描（OCT）区分视网膜劈裂症与视网膜脱离的潜力。光学相干断层扫描是一种非侵入性、非接触式成像方法，可生成眼部组织的高分辨率横截面图像。
回顾性病例系列研究。
12例患者的13只眼睛，这些眼睛需要对视网膜劈裂症与视网膜脱离进行鉴别诊断。
通过检眼镜检查和OCT检查来区分视网膜劈裂症和视网膜脱离。
测量OCT区分视网膜劈裂症与视网膜脱离的能力。
对12例视网膜隆起患者的13只眼睛进行了OCT检查。OCT生成的横截面视图可有效区分视网膜劈裂症与视网膜脱离。视网膜劈裂症的光学相干断层扫描图像显示神经感觉层视网膜分裂。视网膜脱离的OCT图像显示全层神经感觉层视网膜与视网膜色素上皮带分离。在所有13例病例中，OCT图像与临床印象相符。
基于这一系列病例，OCT是一种潜在有用的新检查方法，可用于区分视网膜劈裂症与孔源性视网膜脱离。
