黄斑挫伤性外伤的光谱域光学相干断层扫描特征。

Spectral-domain optical coherence tomography characteristics of macular contusion trauma.

机构信息

Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing, China.

出版信息

Ophthalmic Res. 2012;47(4):220-4. doi: 10.1159/000325732. Epub 2011 Dec 22.

DOI:10.1159/000325732

PMID:22189750

Abstract

PURPOSE

To describe the characteristics of macular lesions after eye trauma using spectral-domain optical coherence tomography (OCT).

METHODS

We retrospectively reviewed and described 2-dimensional (2D) and 3-dimensional (3D) spectral-domain OCT characteristics of 24 consecutive eyes of 24 cases that were identified with macular lesions after eye trauma.

RESULTS

Spectral-domain OCT clearly demonstrated a variety of lesions: hemorrhage, epiretinal membrane formation, macular hole, retinal pigment epithelium (RPE) rupture combined with choroidal neovascularization formation, photoreceptor inner/outer surface changes, RPE detachment, scar formation with e.g. diffuse macular edema, macular distortion or macular atrophy. Main lesions were located in the fovea area in 11 eyes (45.8%), the parafovea in 3 eyes (12.5%) and the whole macular area in 10 eyes (41.7%).

CONCLUSION

Spectral-domain OCT is a useful investigation providing refined and credible 2D/3D images, precisely locating macular lesions after contusion trauma.

摘要

目的

利用频域光相干断层扫描（OCT）描述眼外伤后黄斑病变的特征。

方法

我们回顾性分析了 24 例 24 只眼外伤后黄斑病变患者的二维（2D）和三维（3D）频域 OCT 特征，并进行了描述。

结果

频域 OCT 清楚地显示了各种病变：出血、视网膜内界膜形成、黄斑裂孔、视网膜色素上皮（RPE）破裂伴脉络膜新生血管形成、光感受器内外表面改变、RPE 脱离、伴有弥漫性黄斑水肿、黄斑扭曲或黄斑萎缩等瘢痕形成。11 只眼（45.8%）的主要病变位于黄斑中心凹区，3 只眼（12.5%）位于旁中心凹区，10 只眼（41.7%）位于整个黄斑区。