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扫频源光学相干断层扫描技术对眼科的影响。

Impact of swept source optical coherence tomography on ophthalmology.

作者信息

Kishi Shoji

机构信息

Department of Ophthalmology, Gunma University Graduate School of Medicine, Maebashi, Japan.

出版信息

Taiwan J Ophthalmol. 2016 Apr-Jun;6(2):58-68. doi: 10.1016/j.tjo.2015.09.002. Epub 2015 Dec 2.

Abstract

Swept source optical coherence tomography (SS-OCT) was introduced in clinical practice in 2012. Because of its deeper penetration and faster acquisition time, SS-OCT has the ability to visualize choroid, vitreous, and retinal structures behind dense preretinal hemorrhages. Swept source optical coherence tomography has positively influenced and hugely contributed to the research of the vitreous body. It is the first ophthalmic diagnostic technology to demonstrate the entire structure of the posterior precortical vitreous pocket (PPVP) . The roles of the PPVP in physiological posterior vitreous detachment and vitreoretinal interface disorders have now been elucidated. The presence of a connecting channel between the PPVP and Cloquet's canal suggests that the aqueous humor drains into the premacular space. Deeper penetration of SS-OCT has made it possible to view the choroid. It also has an important role in central serous chorioretinopathy and uveitis. We have also been able to treat Harada disease by monitoring the choroidal thickness by SS-OCT.

摘要

扫频源光学相干断层扫描(SS-OCT)于2012年引入临床实践。由于其穿透深度更深且采集时间更快,SS-OCT能够清晰显示致密视网膜前出血后方的脉络膜、玻璃体和视网膜结构。扫频源光学相干断层扫描对玻璃体研究产生了积极影响并做出了巨大贡献。它是首个能够展示后皮质玻璃体腔(PPVP)完整结构的眼科诊断技术。目前已经阐明了PPVP在生理性玻璃体后脱离和玻璃体视网膜界面疾病中的作用。PPVP与克洛凯管之间存在连接通道,这表明房水排入黄斑前间隙。SS-OCT更深的穿透深度使得观察脉络膜成为可能。它在中心性浆液性脉络膜视网膜病变和葡萄膜炎中也发挥着重要作用。我们还能够通过SS-OCT监测脉络膜厚度来治疗原田病。

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