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感染性后部葡萄膜炎的光学相干断层扫描表现。

Optical Coherence Tomography Findings in Infectious Posterior Uveitis.

机构信息

Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

出版信息

Ocul Immunol Inflamm. 2022 Apr 3;30(3):652-663. doi: 10.1080/09273948.2022.2032197. Epub 2022 Feb 28.

Abstract

PURPOSE

To describe and illustrate the main optical coherence tomography (OCT) findings of infectious uveitis.

METHODS

Narrative review.

RESULTS

Posterior segment OCT in patients with infectious uveitis reveals posterior hyaloid face precipitates, superficial retinal precipitates and infiltrates, foveolitis, retinitis, neuro-retinitis, choroidal granulomas, and choroiditis as main imaging biomarkers. Some of these features are specific to the underlying causing etiology and may support the diagnosis and the initiation of treatment. Some OCT features disappear completely with resolution; some others are associated with irreversible retinal damage.

CONCLUSIONS

OCT identifies different features of infectious uveitis into the vitreous, the retina, and the choroid. OCT characteristics, combined with other multimodal imaging features, are helpful in the differential diagnosis of infectious uveitis, the early detection of complications, and the assessment of the response to therapy.

摘要

目的

描述和说明感染性葡萄膜炎的主要光学相干断层扫描(OCT)表现。

方法

叙述性综述。

结果

患有感染性葡萄膜炎的患者的后节 OCT 显示后玻璃体膜表面沉淀物、浅层视网膜沉积物和浸润、黄斑水肿、视网膜炎、神经视网膜炎、脉络膜肉芽肿和脉络膜炎等主要影像学生物标志物。这些特征中的一些具有特定的病因学基础,可能有助于诊断和开始治疗。一些 OCT 特征完全消失;还有一些则与视网膜不可逆损伤相关。

结论

OCT 将感染性葡萄膜炎的不同特征分为玻璃体、视网膜和脉络膜。OCT 特征与其他多模态成像特征相结合,有助于感染性葡萄膜炎的鉴别诊断、并发症的早期发现以及治疗反应的评估。

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