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采用超广角荧光素血管造影与标准荧光素血管造影的巩膜病荧光素血管造影评分系统在结节病性葡萄膜炎患者中的应用。

Fluorescein Angiography Scoring System Using Ultra-Wide-Field Fluorescein Angiography Versus Standard Fluorescein Angiography in Patients with Sarcoid Uveitis.

机构信息

Department of Ophthalmology, The University of Tokyo Hospital, Tokyo, Japan.

Department of Ophthalmology, Jichi Medical University Saitama Medical Center, Saitama, Japan.

出版信息

Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1398-1402. doi: 10.1080/09273948.2020.1737141. Epub 2020 Mar 12.

Abstract

: To compare standard fluorescein angiography (FA) and ultra-wide-field (UWF) FA in evaluating sarcoid uveitis activity using the scoring system adopted by the Angiography Scoring for Uveitis Working Group (ASUWG).: Standard and UWF FA images of 36 eyes with sarcoid uveitis were acquired on the same day. Three graders independently graded 72 FA images using the ASUWG scoring system. We evaluated inter-observer variability using the intra-class correlation coefficient (ICC) and compared scores of each angiographic sign.: The ICC was 0.77 for standard FA and 0.87 for UWF FA, with respective total scores of 12.0 and 14.6. UWF FA had higher scores than standard FA for optic disc hyperfluorescence, posterior retinal vascular staining and/or leakage, and peripheral capillary leakage.: The scores for UWF FA had a higher ICC than those for standard FA in evaluating sarcoid uveitis. Peripheral capillary leakage scores were particularly high for UWF FA.

摘要

: 比较标准荧光素血管造影(FA)和超广角(UWF)FA 在评估采用 Uveitis 造影评分工作组(ASUWG)评分系统的结节病性葡萄膜炎活动中的作用。: 在同一天采集了 36 只患有结节病性葡萄膜炎的眼睛的标准和 UWF FA 图像。三位分级员使用 ASUWG 评分系统独立对 72 张 FA 图像进行分级。我们使用组内相关系数(ICC)评估了观察者间的变异性,并比较了每种血管造影征象的评分。: 标准 FA 的 ICC 为 0.77,UWF FA 的 ICC 为 0.87,各自的总分为 12.0 和 14.6。UWF FA 在视盘强荧光、后视网膜血管染色和/或渗漏以及周边毛细血管渗漏方面的评分均高于标准 FA。: 在评估结节病性葡萄膜炎时,UWF FA 的评分 ICC 高于标准 FA。UWF FA 的周边毛细血管渗漏评分尤其高。

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