儿童葡萄膜炎患者荧光素血管造影特征的描述。
Characterization of Fluorescein Angiography Features in Pediatric Patients with Uveitis.
机构信息
Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia.
Medical College of Georgia at Augusta University, Augusta, Georgia.
出版信息
Ocul Immunol Inflamm. 2023 Oct;31(8):1635-1639. doi: 10.1080/09273948.2022.2091616. Epub 2022 Jul 25.
PURPOSE
To characterize fluorescein angiography (FA) features in pediatric uveitis.
METHODS
A retrospective cross-sectional study of pediatric uveitis patients in Atlanta, GA, who had FA imaging between May 2009 and August 2020.
RESULTS
A total of 137 eyes of 88 patients were evaluated. The mean FA score in anterior uveitis was lower than that in other categories (p = .0093). The mean FA score in the clinically active group was higher than that in the clinically inactive group (p = .0057). The mean FA score in eyes 20/40 or better was lower than that in other categories (p = .0292). Worse visual acuity was associated with retinal vascular staining/leakage, retinal staining/pooling, and neovascularization elsewhere. Non-infectious uveitis more often demonstrated optic disc hyperfluorescence, retinal vascular staining/leakage, capillary leakage, and pinpoint leaks, while infectious uveitis more often demonstrated retinal staining/pooling.
CONCLUSION
A standardized quantitative FA scoring system can be useful in the characterization of uveitis in pediatric patients.
目的
描述儿童葡萄膜炎的荧光素血管造影（FA）特征。
方法
这是一项在佐治亚州亚特兰大进行的回顾性病例系列研究，纳入了 2009 年 5 月至 2020 年 8 月间进行 FA 成像的儿童葡萄膜炎患者。
结果
共评估了 88 例患者的 137 只眼。前葡萄膜炎的平均 FA 评分低于其他类别（p=0.0093）。临床活动组的平均 FA 评分高于临床非活动组（p=0.0057）。20/40 或更好视力的眼的平均 FA 评分低于其他类别（p=0.0292）。更差的视力与视网膜血管染色/渗漏、视网膜染色/积聚以及其他部位的新生血管形成有关。非感染性葡萄膜炎更常表现为视盘强荧光、视网膜血管染色/渗漏、毛细血管渗漏和针尖样渗漏，而感染性葡萄膜炎更常表现为视网膜染色/积聚。
结论
标准化的定量 FA 评分系统可用于描述儿童葡萄膜炎的特征。
Zotero 插件