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视网膜血管瘤样增生的光学相干断层扫描特征性表现。

Characteristic findings of optical coherence tomography in retinal angiomatous proliferation.

作者信息

Lim Eun-Hae, Han Jung-Il, Kim Chul Gu, Cho Sung Won, Lee Tae Gon

机构信息

Myung-Gok Eye Research Institute, Konyang University Kim's Eye Hospital, Seoul, Korea.

出版信息

Korean J Ophthalmol. 2013 Oct;27(5):351-60. doi: 10.3341/kjo.2013.27.5.351. Epub 2013 Sep 10.

DOI:10.3341/kjo.2013.27.5.351
PMID:24082773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3782581/
Abstract

PURPOSE

To identify the unique pathologic findings of retinal angiomatous proliferation (RAP) in optical coherence tomography (OCT).

METHODS

Retrospectively, 29 eyes of 25 patients with age-related macular degeneration and complicated RAP were analyzed. All 29 eyes had choroidal neovascularization (CNV) in the area of pigment epithelial detachment (PED) or adjacent to it, which was visible with fluorescein angiography or indocyanine green angiography. Cross-sectional images were obtained by OCT scanning through the CNV lesions.

RESULTS

Six distinctive findings of OCT included drusen (100%), inner retinal cyst (80%), outer retinal cyst (68%), fibrovascular PED (84%), serous retinal detachment (40%), and PED (68%).

CONCLUSIONS

Through analysis of OCT findings, we revealed six different types of lesions distinctive of RAP which may provide helpful diagnostic information for subsequent treatment and predicting the prognosis of RAP.

摘要

目的

在光学相干断层扫描（OCT）中识别视网膜血管瘤样增殖（RAP）的独特病理表现。

方法

回顾性分析25例年龄相关性黄斑变性合并RAP患者的29只眼。所有29只眼在色素上皮脱离（PED）区域或其附近均有脉络膜新生血管（CNV），这在荧光素血管造影或吲哚菁绿血管造影中可见。通过OCT扫描穿过CNV病变获取横截面图像。

结果

OCT的六个独特表现包括玻璃膜疣（100%）、视网膜内囊肿（80%）、视网膜外囊肿（68%）、纤维血管性PED（84%）、浆液性视网膜脱离（40%）和PED（68%）。

结论

通过对OCT表现的分析，我们揭示了RAP特有的六种不同类型病变，这可能为后续治疗和预测RAP的预后提供有用的诊断信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/93bd9ef4dba7/kjo-27-351-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/8cb27ec91956/kjo-27-351-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/1c04275e6817/kjo-27-351-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/ff7b61d30550/kjo-27-351-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/968f6267d184/kjo-27-351-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/0239dd7eb284/kjo-27-351-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/93bd9ef4dba7/kjo-27-351-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/8cb27ec91956/kjo-27-351-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/1c04275e6817/kjo-27-351-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/ff7b61d30550/kjo-27-351-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/968f6267d184/kjo-27-351-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/0239dd7eb284/kjo-27-351-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff6/3782581/93bd9ef4dba7/kjo-27-351-g006.jpg

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