视盘小凹黄斑病变中的光学相干断层扫描
Optical coherence tomography in optic pit maculopathy.
作者信息
Karacorlu Serra Arf, Karacorlu Murat, Ozdemir Hakan, Burumcek Engin, Esgin Haluk
机构信息
Istanbul Retina Institute Inc., UNIMED Center, Hakki Yeten Cad, No:8/7, Sisli, Istanbul 34349, Turkey.
出版信息
Int Ophthalmol. 2007 Oct;27(5):293-7. doi: 10.1007/s10792-007-9070-9. Epub 2007 May 9.
PURPOSE
To report the optical coherence tomography (OCT) findings in patients with optic pit maculopathy.
METHODS
Twelve eyes of 12 patients with optic pit maculopathy were evaluated. Cross-sectional OCT images were correlated with findings from slit-lamp biomicroscopy and fluorescein angiography. The presence of retinoschisis and serous macular detachment was evaluated and the height of the serous detachment also measured.
RESULTS
Visual acuities varied between 20/400 and 20/63. The height of the serous macular detachment at the fovea was between 323 and 548 mum. OCT findings showed that ten (83.3%) patients had both retinoschisis and serous macular detachment, one (8.3%) patient had only retinoschisis and one (8.3%) patient had only serous macular detachment. None of the patients had macular hole or vitreoretinal traction.
CONCLUSION
These findings support the concept of a bilaminar structure that contains retinoschisis and serous macular detachment. Our data also showed that in some patients, the sole component of maculopathy was serous macular detachment or retinoschisis.
目的
报告视盘小凹黄斑病变患者的光学相干断层扫描（OCT）检查结果。
方法
对12例视盘小凹黄斑病变患者的12只眼进行评估。将横断面OCT图像与裂隙灯生物显微镜检查及荧光素血管造影结果进行对比。评估视网膜劈裂和浆液性黄斑脱离的存在情况，并测量浆液性脱离的高度。
结果
视力在20/400至20/63之间。黄斑中心凹处浆液性黄斑脱离的高度在323至548微米之间。OCT检查结果显示，10例（83.3%）患者既有视网膜劈裂又有浆液性黄斑脱离，1例（8.3%）患者仅有视网膜劈裂，1例（8.3%）患者仅有浆液性黄斑脱离。所有患者均未出现黄斑裂孔或玻璃体视网膜牵拉。
结论
这些发现支持了包含视网膜劈裂和浆液性黄斑脱离的双层面结构概念。我们的数据还表明，在一些患者中，黄斑病变的唯一组成部分是浆液性黄斑脱离或视网膜劈裂。
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