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玻璃体黄斑牵引综合征自发缓解病例的视网膜结构变化:多模态视网膜成像方法

Retinal structural changes in a case of spontaneous resolution of vitreomacular traction syndrome: multimodal retinal imaging approach.

作者信息

Di Antonio Luca, Toto Lisa, Aharrh-Gnama Agbeanda, Ciciarelli Vincenzo, Mastropasqua Alessandra, Carpineto Paolo

机构信息

Ophthalmology Clinic, University "G. d'Annunzio" Chieti-Pescara, Chieti - Italy.

出版信息

Eur J Ophthalmol. 2015 Jan-Feb;25(1):68-72. doi: 10.5301/ejo.5000496. Epub 2014 Jun 2.

DOI:10.5301/ejo.5000496
PMID:24905253
Abstract

PURPOSE

Retinal structural changes in a case of spontaneous resolution of vitreomacular traction (VMT) syndrome were followed by means of multimodal retinal imaging approach.

METHODS

Confocal scanning laser ophthalmoscopy (cSLO) including digital infrared and blue reflectance (BR) imaging and spectral-domain optical coherence tomography (SD-OCT) were performed in a young man with VMT syndrome.

RESULTS

At the time of diagnosis, multimodal retinal imaging documented outer retina abnormalities linked to VMT. At 1 month follow-up visit, improvement of best-corrected visual acuity and resolution of metamorphopsia were accompanied by documentation of VMT resolution and outer retina restoration.

CONCLUSIONS

Both cSLO and SD-OCT imaging, particularly BR and en face OCT adapted to the outer plexiform layer contour, allowed to depict outer retina changes in the course of VMT resolution. A strict correlation between topographic BR images and en face OCT scans was evident.

摘要

目的

采用多模态视网膜成像方法跟踪玻璃体黄斑牵引(VMT)综合征自发消退病例的视网膜结构变化。

方法

对一名患有VMT综合征的年轻男性进行了共焦扫描激光眼底镜检查(cSLO),包括数字红外和蓝色反射(BR)成像以及光谱域光学相干断层扫描(SD-OCT)。

结果

在诊断时,多模态视网膜成像记录了与VMT相关的外层视网膜异常。在1个月的随访中,最佳矫正视力的改善和视物变形的消退伴随着VMT的消退和外层视网膜的恢复。

结论

cSLO和SD-OCT成像,特别是适应外丛状层轮廓的BR和正面OCT,能够描绘VMT消退过程中的外层视网膜变化。地形BR图像与正面OCT扫描之间存在明显的严格相关性。

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