使用光学相干断层扫描血管造影术检测中心性浆液性脉络膜视网膜病变中的脉络膜新生血管形成
Detection of Choroidal Neovascularization in Central Serous Chorioretinopathy Using Optical Coherence Tomographic Angiography.
作者信息
Weng Sisi, Mao Lei, Yu Suqin, Gong Yuanyuan, Cheng Lu, Chen Xia
机构信息
Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
出版信息
Ophthalmologica. 2016;236(2):114-21. doi: 10.1159/000448630. Epub 2016 Aug 26.
PURPOSE
To demonstrate the detection of choroidal neovascularization (CNV) in clinically diagnosed central serous chorioretinopathy (CSC) by optical coherence tomographic angiography (OCTA).
METHODS
Seventy-five eyes of 70 patients were included. OCTA was performed on each patient. Two trained readers evaluated the images independently to confirm the diagnosis and identify CNV at the level of the outer retina.
RESULTS
All studied eyes presented characteristics consistent with CSC based on eye examination and traditional imaging technologies, including fundus fluorescein angiography, which showed no evidence of CNV. However, OCTA revealed definite abnormal vascularization at the level of the outer retina in 8 eyes (10.7%) of 8 patients (11.4%).
CONCLUSION
This study suggests that in some cases of CSC, OCTA could be an alternative option to detect CNV that is undetectable by other conventional imaging techniques.
目的
通过光学相干断层扫描血管造影（OCTA）来证明在临床诊断的中心性浆液性脉络膜视网膜病变（CSC）中检测脉络膜新生血管（CNV）。
方法
纳入70例患者的75只眼。对每位患者进行OCTA检查。两名经过培训的阅片者独立评估图像以确诊并识别外层视网膜水平的CNV。
结果
根据眼部检查和传统成像技术（包括眼底荧光血管造影），所有研究的眼睛均呈现出与CSC一致的特征，未显示CNV的证据。然而，OCTA显示8例患者（11.4%）的8只眼（10.7%）在外层视网膜水平有明确的异常血管形成。
结论
本研究表明，在某些CSC病例中，OCTA可能是检测其他传统成像技术无法检测到的CNV的替代选择。
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