Eliseeva N M, Serova N K, Shifrin M A
Zh Vopr Neirokhir Im N N Burdenko. 2008 Jul-Sep(3):31-5.
Confocal scanning laser tomography (CSLT) giver the opportunity to describe stereometric parameters of the optic disk in patients with different stages of papilledema. CSLT of the optic disk (Heidelberg Retina Tomograph II) was performed in 20 healthy volunteers (40 eyes) and in 85 patients with papilledema caused by cerebral tumors (8 eyes without papilledema, 52 eyes with early, 38 with moderate and 56 with severe stage of papilledema, and 9 with chronic papilledema and optic atrophy). Rim volume (RV) and disk area (DA) were measured. CSLT was performed during postoperative follow-up in 40 patients. The difference in RV (p < 0.01) and DA (p < 0.01) between normal optic disk and optic disk with early and moderate edema, and optic disk with severe edema, was significant. Stereometric parameters of optic disks measured by CSLT provide objective quantitative assessment of papilledema in patients with cerebral tumors. CSLT is especially valuable in monitoring of papilledema.
共焦扫描激光断层扫描（CSLT）为描述不同阶段视乳头水肿患者视盘的立体测量参数提供了机会。对20名健康志愿者（40只眼）以及85例由脑肿瘤引起视乳头水肿的患者（8只无视乳头水肿的眼睛，52只早期视乳头水肿的眼睛，38只中度视乳头水肿的眼睛，56只重度视乳头水肿的眼睛，9只慢性视乳头水肿伴视神经萎缩的眼睛）进行了视盘的CSLT（海德堡视网膜断层扫描仪II）检查。测量了边缘体积（RV）和视盘面积（DA）。对40例患者在术后随访期间进行了CSLT检查。正常视盘与早期和中度水肿视盘以及重度水肿视盘之间的RV（p < 0.01）和DA（p < 0.01）差异具有统计学意义。通过CSLT测量的视盘立体测量参数为脑肿瘤患者的视乳头水肿提供了客观的定量评估。CSLT在监测视乳头水肿方面特别有价值。
