St Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, UK.
Acta Ophthalmol. 2013 Feb;91(1):48-51. doi: 10.1111/j.1755-3768.2011.02200.x. Epub 2011 Aug 19.
Retinal vasculitis is an important component of posterior uveitis. It may be difficult to detect either clinically or with conventional angiography. We assessed the role of Staurenghi lens angiography (SLA) in the diagnosis and management of patients with posterior uveitis.
A total of 26 patients attending the St Paul's Eye Unit uveitis clinic with posterior uveitis underwent wide-angle (150 degree) retinal angiography with the Heidelberg Retina Angiograph 2 Scanning Laser Ophthalmoscope using the Staurenghi SLO 230 contact lens. We determined the percentage of patients in whom this imaging modality assisted in diagnosing and quantifying the extent of vasculitis, planning treatment or monitoring disease activity.
Staurenghi lens angiography assisted in diagnosing and quantifying the extent of vasculitis in 62% of patients, and in planning laser photocoagulation or immunosuppression titration in 62% of patients and enhanced disease monitoring in 35% of patients. In 31% of cases, SLA revealed vasculitis that was not evident clinically.
Staurenghi lens angiography is a valuable tool in the management of patients with posterior uveitis and can be used for the diagnosis, treatment and follow-up of these patients.
视网膜血管炎是后葡萄膜炎的重要组成部分。它可能难以通过临床或传统血管造影来检测。我们评估了 Staurenghi 晶状体血管造影（SLA）在后葡萄膜炎患者的诊断和治疗中的作用。
共有 26 名患有后葡萄膜炎的患者在圣保罗眼单位葡萄膜炎诊所接受广角（150 度）视网膜血管造影，使用海德堡视网膜血管造影 2 扫描激光检眼镜和 Staurenghi SLO 230 接触镜。我们确定了这种成像方式有助于诊断和量化血管炎程度、规划治疗或监测疾病活动的患者比例。
Staurenghi 晶状体血管造影在 62%的患者中有助于诊断和量化血管炎的程度，并在 62%的患者中有助于规划激光光凝或免疫抑制滴定，在 35%的患者中增强了疾病监测。在 31%的病例中，SLA 显示出临床上不明显的血管炎。
Staurenghi 晶状体血管造影是后葡萄膜炎患者管理的有价值的工具，可用于这些患者的诊断、治疗和随访。
