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荧光素血管造影对视网膜血管直径影响的评估:一项光学相干断层扫描研究。

Evaluation of the effect of fluorescein angiography on retinal vessel diameter: an optical coherence tomography study.

作者信息

Unlu Metin, Sevim Duygu Gülmez, Karaca Cagatay, Duzgun Bahadir, Oner Ayse Ozturk, Mirza Ertugrul

机构信息

Ophthalmology Department, School of Medicine, Erciyes University, 38039, Kayseri, Turkey.

出版信息

Int Ophthalmol. 2018 Feb;38(1):75-82. doi: 10.1007/s10792-016-0425-y. Epub 2016 Dec 30.

Abstract

PURPOSE

To evaluate the effect of fluorescein angiography on retinal vessel diameter with Optical Coherence Tomography (OCT).

METHODS

In this cross-sectional study, a total of 81 eyes of 81 patients who were performed fluorescein angiography (FA) procedure were included. Retinal vessels were examined with the Spectral-domain OCT at baseline and immediately after FA procedure. A cube scan consisting of seven horizontal scans were placed at the inferior border of the disk to include the inferior temporal retinal vessels. Vessels diameters were measured at five measurement points (480-1440 μm inferiorly from the optic disk border).

RESULTS

The mean age of the study subjects was 58.02 ± 14.1 years. At baseline, the mean diameter of the retinal artery was 120.16 ± 24.56 µm and of the vein 157.94 ± 32.34 µm at the measurement point of 480 μm, with a gradual decrease to 114.91 ± 25.59 and 152.17 ± 28.17 µm, respectively, at 1440 μm. After FA procedure, the mean diameter of the retinal artery was 122.85 ± 26.35 and of the vein 158.30 ± 32.21 µm at the measurement point of 480 μm, with a gradual decrease to 115.22 ± 22.91 and 151.94 ± 28.93 µm, respectively, at 1440 μm. There were no statistical differences for either of these comparisons at any of the points of both artery and vein measurements.

CONCLUSION

There was not any clinically significant change in retinal artery diameter such as a dilatatory response after FA procedure in patients with hypertension, diabetes, and age-related macular degeneration (AMD).

摘要

目的

通过光学相干断层扫描(OCT)评估荧光素血管造影对视网膜血管直径的影响。

方法

在这项横断面研究中,纳入了81例行荧光素血管造影(FA)检查的81例患者的81只眼。在基线时以及FA检查后立即用光谱域OCT检查视网膜血管。在视盘下缘放置由七次水平扫描组成的立方体扫描,以包括颞下视网膜血管。在五个测量点(从视盘边缘向下480 - 1440μm)测量血管直径。

结果

研究对象的平均年龄为58.02±14.1岁。在基线时,在480μm测量点,视网膜动脉的平均直径为120.16±24.56μm,静脉为157.94±32.34μm,在1440μm处分别逐渐降至114.91±25.59μm和152.17±28.17μm。FA检查后,在480μm测量点,视网膜动脉的平均直径为122.85±26.35μm,静脉为158.30±32.21μm,在1440μm处分别逐渐降至115.22±22.91μm和151.94±28.93μm。在动脉和静脉测量的任何点上,这些比较中的任何一个均无统计学差异。

结论

在高血压、糖尿病和年龄相关性黄斑变性(AMD)患者中,FA检查后视网膜动脉直径没有出现任何具有临床意义的变化,如扩张反应。

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