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视网膜血管炎的新成像技术。

New imaging techniques in retinal vasculitis.

机构信息

Institut Clínic d'Oftalmologia, Hospital Clínic de Barcelona, Barcelona, España.

Institut Clínic d'Oftalmologia, Hospital Clínic de Barcelona, Barcelona, España.

出版信息

Med Clin (Barc). 2017 Sep 20;149(6):261-266. doi: 10.1016/j.medcli.2017.05.009. Epub 2017 Jul 5.

Abstract

The term retinal vasculitis (RV) encompasses a heterogeneous group of sight-threatening conditions that are included in the intraocular inflammatory diseases that affect the posterior segment of the eye. Based on the nature of the inflammatory process, RV are classified into predominantly inflammatory or ischaemic (occlusive RV). The diagnosis is clinical and the aetiology can be infectious or non-infectious (immune-mediated). RV can be an isolated ocular syndrome or be associated with a systemic disease, of which they can represent the first manifestation. New retinal imaging techniques such as ultra-wide field fluorescein angiography and optical coherence tomography angiography will help us classify the RV and aid the diagnostic process, which can be challenging and require a multidisciplinary approach. Therefore, clinical knowledge of RV is essential for prompt diagnosis and to establish the appropriate treatment.

摘要

视网膜血管炎(RV)一词涵盖了一组异质性的致盲性疾病,这些疾病被包括在影响眼睛后段的眼内炎症性疾病中。根据炎症过程的性质,RV 可分为以炎症为主或缺血性(闭塞性 RV)。诊断是临床性的,病因可以是感染性或非感染性(免疫介导性)。RV 可以是一种孤立的眼部综合征,也可以与一种系统性疾病相关,其中它可以是最初的表现。新的视网膜成像技术,如超广角荧光素血管造影和光相干断层扫描血管造影,将有助于我们对 RV 进行分类,并辅助诊断过程,这可能具有挑战性,需要多学科的方法。因此,RV 的临床知识对于及时诊断和确立适当的治疗至关重要。

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