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多色成像技术的临床应用

Clinical Application of Multicolor Imaging Technology.

作者信息

Tan Anna C S, Fleckenstein Monika, Schmitz-Valckenberg Steffen, Holz Frank G

机构信息

Department of Ophthalmology, University of Bonn, Bonn, Germany.

出版信息

Ophthalmologica. 2016;236(1):8-18. doi: 10.1159/000446857. Epub 2016 Jul 13.

Abstract

PURPOSE

To assess the clinical application of multicolor imaging by confocal scanning laser ophthalmoscopy (cSLO).

METHODS

Retinal imaging was performed in 76 patients including cSLO multicolor imaging (SPECTRALIS SD-OCT, Heidelberg Engineering, Heidelberg, Germany) and color fundus photography (CFP).

RESULTS

The use of confocal optics, reduced light scatter and automated eye tracking enable high-resolution cSLO reflectance images. Compared to CFP, the appearance of pigment alterations and hemorrhages were some of the differences observed. Various artifacts including those derived from optical media alterations need to be considered when interpreting images. Specific pathological findings including epiretinal membranes, fibrovascular proliferations, and reticular pseudodrusen may be better visualized on multicolor images.

CONCLUSIONS

When using multicolor imaging, ophthalmologists need to be mindful about differences in the appearance of pathological changes and artifacts. Multicolor imaging may offer information over and above conventional CFP; it can be performed through undilated pupils and is less affected by media opacities.

摘要

目的

评估共焦扫描激光眼底镜(cSLO)多色成像的临床应用。

方法

对76例患者进行视网膜成像,包括cSLO多色成像(SPECTRALIS SD-OCT,德国海德堡工程公司,海德堡)和彩色眼底照相(CFP)。

结果

共焦光学系统的使用、减少的光散射和自动眼球跟踪实现了高分辨率的cSLO反射图像。与CFP相比,色素改变和出血的外观是观察到的一些差异。在解释图像时需要考虑各种伪像,包括那些由光学介质改变引起的伪像。包括视网膜前膜、纤维血管增生和网状假性玻璃膜疣在内的特定病理发现可能在多色图像上更清晰可见。

结论

使用多色成像时,眼科医生需要注意病理变化和伪像外观的差异。多色成像可能提供超越传统CFP的信息;它可以通过未散瞳的瞳孔进行,并且受介质混浊的影响较小。

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