扫频源光学相干断层血管造影在葡萄膜炎性囊样黄斑水肿中的应用。

Swept-source Optical Coherence Tomography Angiography Findings in Uveitic Cystoid Macular Edema.

机构信息

Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia.

Department of Ophthalmology, Valenciennes Hospital Center, Valenciennes, France.

出版信息

Ocul Immunol Inflamm. 2019;27(8):1211-1223. doi: 10.1080/09273948.2019.1672195. Epub 2019 Oct 25.

DOI:10.1080/09273948.2019.1672195

PMID:31652092

Abstract

: To describe swept-source optical coherence tomography angiography (OCTA) findings in uveitic cystoid macular edema (CME).: Prospective study of 36 eyes.: Cystoid black spaces were shown in the deep capillary plexus (DCP) in 36 eyes (100%) and in the superficial capillary plexus (SCP) in 6 eyes (16.7%). Grayish areas of capillary non perfusion/hypoperfusion were seen in 69.4% of eyes in the DCP (vs 25% in the SCP, < .001). The foveal avascular zone was larger than in the control healthy eyes in the DCP ( < .001). Capillary density was lower than in the control group in the SCP ( = .001) and the DCP ( < .001). Of 11 eyes with resolved CME on OCT, 4 eyes showed complete recovery of both plexuses on OCTA. There was a persistence of areas of capillary rarefaction in 4 eyes, and of hypoperfusion/nonperfusion in 3 eyes.: OCTA visualizes perifoveal microvascular changes in uveitic CME.

摘要

: 描述了葡萄膜炎性囊样黄斑水肿（CME）的扫频源光相干断层扫描血管造影（OCTA）结果。: 36 只眼的前瞻性研究。: 在 36 只眼（100%）的深层毛细血管丛（DCP）和 6 只眼（16.7%）的浅层毛细血管丛（SCP）中显示出囊样黑色空间。在 DCP 中，69.4%的眼可见毛细血管无灌注/灌注不足的灰色区域（与 SCP 中的 25%相比，<.001）。与 DCP 中的对照组相比，DCP 中的中心无血管区更大（<.001）。SCP（=.001）和 DCP（<.001）中的毛细血管密度均低于对照组。在 11 只 OCT 上 CME 消退的眼中，4 只眼在 OCTA 上显示出两个丛完全恢复。在 4 只眼中，毛细血管稀疏区持续存在，在 3 只眼中存在灌注不足/无灌注。: OCTA 可观察到葡萄膜炎性 CME 周边微血管的变化。