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小儿视网膜广角光学相干断层扫描：使用原型手持设备的术中应用病例系列

Widefield Optical Coherence Tomography in Pediatric Retina: A Case Series of Intraoperative Applications Using a Prototype Handheld Device.

作者信息

Nguyen Thanh-Tin P, Ni Shuibin, Liang Guangru, Khan Shanjida, Wei Xiang, Skalet Alison, Ostmo Susan, Chiang Michael F, Jia Yali, Huang David, Jian Yifan, Campbell J Peter

机构信息

Casey Eye Institute, Oregon Health and Science University, Portland, OR, United States.

Department of Biomedical Engineering, Oregon Health and Science University, Portland, OR, United States.

出版信息

Front Med (Lausanne). 2022 Jul 4;9:860371. doi: 10.3389/fmed.2022.860371. eCollection 2022.

DOI:10.3389/fmed.2022.860371
PMID:35860728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9289179/
Abstract

Optical coherence tomography (OCT) has changed the standard of care for diagnosis and management of macular diseases in adults. Current commercially available OCT systems, including handheld OCT for pediatric use, have a relatively narrow field of view (FOV), which has limited the potential application of OCT to retinal diseases with primarily peripheral pathology, including many of the most common pediatric retinal conditions. More broadly, diagnosis of all types of retinal detachment (exudative, tractional, and rhegmatogenous) may be improved with OCT-based assessment of retinal breaks, identification of proliferative vitreoretinopathy (PVR) membranes, and the pattern of subretinal fluid. Intraocular tumors both benign and malignant often occur outside of the central macula and may be associated with exudation, subretinal and intraretinal fluid, and vitreoretinal traction. The development of wider field OCT systems thus has the potential to improve the diagnosis and management of myriad diseases in both adult and pediatric retina. In this paper, we present a case series of pediatric patients with complex vitreoretinal pathology undergoing examinations under anesthesia (EUA) using a portable widefield (WF) swept-source (SS)-OCT device.

摘要

光学相干断层扫描（OCT）改变了成人黄斑疾病诊断和管理的护理标准。目前市面上的OCT系统，包括用于儿科的手持式OCT，视野（FOV）相对较窄，这限制了OCT在主要累及周边部病变的视网膜疾病中的潜在应用，这些疾病包括许多最常见的儿科视网膜疾病。更广泛地说，通过基于OCT对视网膜裂孔的评估、增殖性玻璃体视网膜病变（PVR）膜的识别以及视网膜下液的模式，所有类型视网膜脱离（渗出性、牵拉性和孔源性）的诊断都可能得到改善。眼内肿瘤（良性和恶性）通常发生在黄斑中心以外，可能与渗出、视网膜下和视网膜内液以及玻璃体视网膜牵拉有关。因此，更宽视野OCT系统的开发有可能改善成人和儿科视网膜中无数疾病的诊断和管理。在本文中，我们展示了一系列患有复杂玻璃体视网膜病变的儿科患者，他们在麻醉下使用便携式宽视野（WF）扫频光源（SS）-OCT设备进行检查（EUA）。

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