Mirshahi A, Lorenz K, Kramann C, Stoffelns B, Hattenbach L-O
Augenklinik, Universitätsmedizin der J. Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131 Mainz, Deutschland.
Ophthalmologe. 2011 Feb;108(2):111-6. doi: 10.1007/s00347-010-2290-9.
Retinal vein occlusions are a common vascular disease of the eye. Ophthalmological diagnostic procedures and imaging are important for the prognosis of the disease, as are the systemic work-up and therapy. Besides routine ophthalmic tests (visual acuity, slit lamp examination, funduscopy) a work-up for glaucoma such as intraocular pressure, visual field or 24 h IOP profile is useful as a diagnostic procedure. Furthermore, new diagnostic and imaging tests such as central corneal thickness and optic nerve head imaging by Heidelberg retina tomography or optical coherence tomography (OCT) should be considered for glaucoma evaluation. Optical coherence tomography also plays a major role in treatment monitoring of macular edema secondary to retinal vein occlusions. Fluorescein angiography is well established and can provide information with regard to size and extent of the occlusion, degree of ischemia, areas of non-perfusion and neovascularization, as well as macular edema.
视网膜静脉阻塞是一种常见的眼部血管疾病。眼科诊断程序和影像学检查对该疾病的预后很重要,全身检查和治疗也同样重要。除了常规眼科检查(视力、裂隙灯检查、眼底镜检查)外,青光眼检查如眼压、视野或24小时眼压曲线作为诊断程序也很有用。此外,在青光眼评估中应考虑新的诊断和影像学检查,如中央角膜厚度以及通过海德堡视网膜断层扫描或光学相干断层扫描(OCT)进行的视神经乳头成像。光学相干断层扫描在视网膜静脉阻塞继发黄斑水肿的治疗监测中也起着重要作用。荧光素血管造影已得到广泛应用,可提供有关阻塞的大小和范围、缺血程度、无灌注区和新生血管形成以及黄斑水肿的信息。