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应用增强深度成像光学相干断层扫描技术观察脉络膜巩膜骨化。

Sclerochoroidal calcifications imaged using enhanced depth imaging optical coherence tomography.

机构信息

Retinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Ocul Immunol Inflamm. 2012 Jun;20(3):190-2. doi: 10.3109/09273948.2012.670358. Epub 2012 Apr 9.

Abstract

PURPOSE

To report a case of sclerochoroidal calcifications and describe the appearance of these lesions using optical coherence tomography with enhanced depth imaging (EDI-OCT) technology.

DESIGN

Case Report

METHODS

An 85-year-old patient who presented with bilateral retinal lesions suspected to be metastases was evaluated with slit-lamp biomicroscopy, funduscopy, fluorescein angiography, B-scan ultrasonography (U/S), and EDI-OCT.

RESULTS

B-scan U/S demonstrated echo-dense consolidations in the choroid bilaterally with acoustic shadowing consistent with sclerochoroidal calcifications. EDI-OCT revealed hyper-reflective lesions with decreased reflectivity posterior to the lesion.

CONCLUSIONS

Sclerochoroidal calcifications should be included in the differential of choroidal masses, given their unique appearance on EDI-OCT.

摘要

目的

报告一例巩膜脉络膜钙化病例,并描述使用增强深度成像(EDI-OCT)技术的这些病变的外观。

设计

病例报告

方法

对一名 85 岁的双侧视网膜病变疑似转移患者进行裂隙灯生物显微镜检查、眼底检查、荧光素血管造影、B 型超声(U/S)和 EDI-OCT 检查。

结果

B 型超声显示双侧脉络膜回声致密性增强,伴有声影,符合巩膜脉络膜钙化。EDI-OCT 显示病变后部反射性高的病变,反射性降低。

结论

鉴于 EDI-OCT 上的独特表现,巩膜脉络膜钙化应包括在脉络膜肿块的鉴别诊断中。

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