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使用扫频源、正面光学相干断层扫描和光学相干断层扫描血管造影对黄斑部视网膜病变进行多模态成像

MULTIMODALITY IMAGING OF TORPEDO MACULOPATHY WITH SWEPT-SOURCE, EN FACE OPTICAL COHERENCE TOMOGRAPHY AND OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY.

作者信息

Papastefanou Vasilios P, Vázquez-Alfageme Clara, Keane Pearse A, Sagoo Mandeep S

机构信息

Medical Retina Service, Moorfields Eye Hospital, London, United Kingdom.

UCL, Institute of Ophthalmology, London, United Kingdom.

出版信息

Retin Cases Brief Rep. 2018;12(2):153-157. doi: 10.1097/ICB.0000000000000456.

DOI:10.1097/ICB.0000000000000456
PMID:27763944
Abstract

PURPOSE

Multimodality image analysis of two cases of torpedo maculopathy.

METHODS

Imaging with fundus photography, autofluorescence (AF), swept-source optical coherence tomography (OCT), en face OCT, and OCT angiography.

RESULTS

The basal diameter of the torpedo lesions was 1 mm × 2 mm. One case had a satellite lesion. Autofluorescence indicated variable loss of signal. Swept-source OCT and en face OCT demonstrated fundus excavation, attenuation of nuclear layers and disruption of the outer plexiform layer, loss of photoreceptors and a subretinal cleft. In one case, Sattler layer appeared extended at the cleft. Optical coherence tomography angiography indicated loss of flow in deep retinal vessels and increased flow in choroidal vessels surrounding the cleft.

CONCLUSION

Multimodal imaging findings of torpedo maculopathy include disruption of the deep retinal capillary network, expansion of Sattler layer, and increased signal around the subretinal cleft.

摘要

目的

对两例鱼雷样黄斑病变进行多模态图像分析。

方法

采用眼底照相、自发荧光(AF)、扫频光学相干断层扫描(OCT)、OCT 表面成像和 OCT 血管造影成像。

结果

鱼雷样病变的基底直径为 1 毫米×2 毫米。其中 1 例有卫星病灶。自发荧光显示信号不同程度缺失。扫频 OCT 和 OCT 表面成像显示眼底凹陷、核层变薄及外丛状层破坏、光感受器缺失和视网膜下裂。在 1 例中,萨特勒层在裂孔处似乎有延伸。光学相干断层扫描血管造影显示深层视网膜血管血流缺失,裂孔周围脉络膜血管血流增加。

结论

鱼雷样黄斑病变的多模态成像表现包括深层视网膜毛细血管网络破坏、萨特勒层扩张以及视网膜下裂周围信号增强。

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