糖尿病性视网膜病变中黄斑新生血管的光学相干断层扫描血管造影
Optical Coherence Tomography Angiography of Foveal Neovascularization in Diabetic Retinopathy.
作者信息
Andreanos Konstantinos, Rotsos Tryfon, Kymionis George, Koutsandrea Chryssanthi, Kotsolis Athanasios, Ladas Ioannis
机构信息
1st Department of Ophthalmology, University of Athens, Georgios Gennimatas General Hospital, Athens, Greece.
出版信息
Case Rep Ophthalmol. 2018 Jan 29;9(1):87-91. doi: 10.1159/000485831. eCollection 2018 Jan-Apr.
PURPOSE
To report a case of foveal neovascularization in a patient with proliferative diabetic retinopathy as seen on optical coherence tomography angiography (OCT-A).
METHODS
Multimodal imaging was used for diagnostic investigation.
PATIENT
A 61-year-old male with a 16-year history of insulin-dependent diabetes mellitus was referred to our medical retina department for examination and management. Meticulous fundus examination and multimodal imaging revealed proliferative diabetic retinopathy lesions, including neovascularization located in the foveal area.
RESULTS
OCT-A allowed us to detect the neovascular lesion, confirm that it originated from perifoveal capillaries, estimate its retinal depth, and evaluate the vessel blood flow in multiple layers.
CONCLUSION
To the best of our knowledge this is the first report of OCT-A imaging of foveal neovascularization in diabetic retinopathy. OCT-A is a very useful examination for the diagnostic investigation of patients with diabetic retinopathy.
目的
报告1例增殖性糖尿病视网膜病变患者的黄斑区新生血管，通过光学相干断层扫描血管造影（OCT-A）观察到的情况。
方法
采用多模态成像进行诊断检查。
患者
一名61岁男性，有16年胰岛素依赖型糖尿病病史，转诊至我院视网膜内科进行检查和治疗。细致的眼底检查和多模态成像显示增殖性糖尿病视网膜病变病变，包括位于黄斑区的新生血管。
结果
OCT-A使我们能够检测到新生血管病变，确认其起源于黄斑周围毛细血管，估计其视网膜深度，并评估多层血管血流。
结论
据我们所知，这是糖尿病视网膜病变黄斑区新生血管OCT-A成像的首例报告。OCT-A对糖尿病视网膜病变患者的诊断检查非常有用。
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