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[超广角视网膜成像与血管造影在周边视网膜血管疾病鉴别诊断及治疗决策中的应用]

[Ultra-Wide Field Retinal Imaging and Angiography in the Differential Diagnosis and Therapeutic Decisions in Vascular Diseases of the Peripheral Retina].

作者信息

Joussen Antonia M, Brockmann Claudia, Urban Josefine, Seibel Ira, Winterhalter Sibylle, Zeitz Oliver, Müller Bert

机构信息

Klinik und Poliklinik für Augenheilkunde, Charité - Universitätsmedizin Berlin, Berlin.

Berlin Institute of Health (BIH), Berlin.

出版信息

Klin Monbl Augenheilkd. 2018 Sep;235(9):980-993. doi: 10.1055/a-0667-0493. Epub 2018 Sep 14.

Abstract

Investigation of vascular diseases of the peripheral retina requires imaging procedures that allow a comprehensive view of the periphery, as well as reproducible pictures. In particular, ultra-wide field fluorescence angiography facilitates diagnosis, therapeutic decisions and follow-up examinations. While vasculopathies such as Coats disease and familiar exudative vitreoretinopathy are diagnosed within the first and second decade of life, patients' compliance during fundus imaging is typically reduced within this age range. Compared to the repeated imaging procedures for composite formation, ultra-wide field imaging has significantly reduced recording time. Nevertheless, current imaging systems are not able to map the entire retina in scaled proportions. Therefore, the imaging frame must be guided by patients' gaze onto the affected retinal area. Moreover, the medical photographer must be aware of the clinical setting and the region of interest. Hence, previous detailed funduscopy by trained ophthalmologists will remain indispensable.

摘要

对外周视网膜血管疾病的研究需要能够全面观察周边区域并能提供可重复图像的成像程序。特别是超广角荧光血管造影有助于诊断、治疗决策和随访检查。虽然像科茨病和家族性渗出性玻璃体视网膜病变等血管病变在生命的第一个和第二个十年内被诊断出来,但在这个年龄范围内,患者在眼底成像过程中的依从性通常会降低。与用于合成图像的重复成像程序相比,超广角成像显著缩短了记录时间。然而,目前的成像系统无法按比例绘制整个视网膜。因此,成像框架必须由患者的注视引导到受影响的视网膜区域。此外,医学摄影师必须了解临床情况和感兴趣的区域。因此,训练有素的眼科医生之前进行的详细眼底检查仍然不可或缺。

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