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光学相干断层扫描和光学相干断层扫描血管造影在后发性葡萄膜炎鉴别诊断中的作用。

The Role of Optical Coherence Tomography and Optical Coherence Tomography Angiography in the Differential Diagnosis of Posterior Uveitis.

机构信息

Department of Ophthalmology, Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

Department of Biomedical and Clinical Science "Luigi Sacco," Eye Clinic, University of Milan, Milan, Italy.

出版信息

Ocul Immunol Inflamm. 2022 Apr 3;30(3):682-689. doi: 10.1080/09273948.2022.2071743. Epub 2022 May 20.

Abstract

PURPOSE

Modalities such as optical coherence tomography (OCT) and OCT angiography (OCTA) have improved the diagnostic utility of fundus imaging in management of uveitis. The purpose of this study is to review role of OCT and OCTA in differential diagnosis of certain posterior uveitic entities.

METHODS

Narrative review.

RESULTS

In this review, we have comprehensively summarized the utility of OCT and OCTA in helping the clinician diagnose common but challenging inflammatory conditions including ocular toxoplasmosis, viral retinitis, and vitreoretinal lymphoma, among others. OCT and OCTA can also be used to assess the choriocapillaris involvement in conditions such as multiple evanescent white dot syndrome, and choroidal granulomas in tubercular and sarcoid uveitis.

CONCLUSIONS

Fundus imaging with OCT and OCTA has assumed a significant role in establishing the diagnosis in uveitis apart from microbiological and other laboratory analysis. Advantages such as rapidity and non-invasiveness make these imaging modalities very useful and convenient.

摘要

目的

光学相干断层扫描(OCT)和 OCT 血管造影(OCTA)等技术提高了眼底成像在葡萄膜炎管理中的诊断效用。本研究旨在综述 OCT 和 OCTA 在某些后葡萄膜炎疾病的鉴别诊断中的作用。

方法

叙述性综述。

结果

在本综述中,我们全面总结了 OCT 和 OCTA 在帮助临床医生诊断常见但具有挑战性的炎症性疾病方面的效用,包括眼弓形体病、病毒性视网膜炎和眼内淋巴瘤等。OCT 和 OCTA 还可用于评估脉络膜毛细血管在多发性一过性白点综合征和结核及结节病性葡萄膜炎的脉络膜肉芽肿等疾病中的受累情况。

结论

除了微生物学和其他实验室分析外,OCT 和 OCTA 的眼底成像在葡萄膜炎的诊断中也发挥了重要作用。这些成像方式具有快速、非侵入性等优点,非常实用和方便。

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