Department of Retina Center, Eye Hospital of Wenzhou Medical University, Hangzhou, Zhejiang Province, China.
Semin Ophthalmol. 2021 Nov 17;36(8):800-803. doi: 10.1080/08820538.2021.1913191. Epub 2021 May 16.
To describe the spectral-domain optical coherence tomography (SD-OCT) features of typical cystoid degeneration. This was a retrospective study of 11 eyes with typical cystoid degeneration (TCD). All patients had a complete ocular examination, ultra-widefield (UWF) pseudocolor fundus photography and SD-OCT with a 55° wide-field lens. We analyzed the cross-sectional structural information of SD-OCT imaging with TCD. On SD-OCT, the TCD regions exhibited rolling hills patterns with irregularly elevated retinal surface, and multiple intraretinal hyporeflective cavities separated by irregular septums were seen in the neurosensory retina. Destructive changes were seen in the ellipsoid zone and the pigment epithelium. Consolidated vitreous with moderate to high reflectivity was seen over the lesion and there might be vitreoretinal adhesions and tractions. SD-OCT shows exquisite structural features of the anatomy in vivo detail of the TCD. This imaging technique may deepen our structural understanding of TCD and may influence decision-making in clinical practice.
描述典型囊样变性的光谱域光相干断层扫描（SD-OCT）特征。这是一项对 11 只典型囊样变性（TCD）眼的回顾性研究。所有患者均行全面眼部检查、超广角（UWF）假彩色眼底照相和 55°广角镜 SD-OCT。我们分析了 TCD 时 SD-OCT 成像的横截面结构信息。在 SD-OCT 上，TCD 区域表现为丘陵状，视网膜表面不规则隆起，神经感觉视网膜内可见多个由不规则隔分开的视网膜内低反射腔。椭圆体带和色素上皮可见破坏改变。病变上方可见中等至高反射性的合并玻璃体，可能存在玻璃体视网膜粘连和牵引。SD-OCT 显示了 TCD 活体细节的精细结构特征。这种成像技术可以加深我们对 TCD 的结构理解，并可能影响临床实践中的决策。
