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年度诊断回顾:炎症性脉络膜新生血管 - 影像更新。

Review for Diagnostics of the Year: Inflammatory Choroidal Neovascularization - Imaging Update.

机构信息

Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

The Eye Department, Cleveland Clinic Abu Dhabi, UAE.

出版信息

Ocul Immunol Inflamm. 2023 May;31(4):819-825. doi: 10.1080/09273948.2022.2046793. Epub 2022 Apr 11.

Abstract

Inflammatory choroidal neovascularization (iCNV) is a rare complication of uveitis but is a major cause of vision compromise in affected patients. Fluorescein angiography (FA) has been the gold standard for diagnosis. However, it is an invasive modality and when used alone, it might be difficult to distinguish iCNV from inflammatory lesions. Optical coherence tomography (OCT) is a noninvasive and rapid imaging modality that can provide additional features to diagnose iCNV. OCT angiography (OCTA) uses intrinsic motion contrast to visualize flow and is useful to distinguish iCNV from inflammatory lesions. However, its role in evaluating iCNV activity and treatment response is still unclear and more studies are required to reach consensus. In conclusion, the use of data from multimodal imaging is necessary to identify and promptly treat iCNV, thus preserving patient vision.

摘要

炎症性脉络膜新生血管(iCNV)是葡萄膜炎的罕见并发症,但却是影响患者视力的主要原因。荧光素血管造影(FA)一直是诊断的金标准。然而,它是一种有创的方法,单独使用时,可能难以将 iCNV 与炎症病变区分开来。光学相干断层扫描(OCT)是一种非侵入性且快速的成像方式,可以提供额外的特征来诊断 iCNV。OCT 血管造影(OCTA)利用固有运动对比来可视化血流,有助于将 iCNV 与炎症病变区分开来。然而,其在评估 iCNV 活动和治疗反应中的作用仍不清楚,需要更多的研究来达成共识。总之,需要使用多模态成像数据来识别和及时治疗 iCNV,从而保护患者的视力。

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