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广角和超广角光学相干断层扫描在玻璃体视网膜疾病诊断与治疗中的作用

The Role of Widefield and Ultra Widefield Optical Coherence Tomography in the Diagnosis and Management of Vitreoretinal Diseases.

作者信息

Ripa Matteo, Motta Lorenzo, Florit Teresa, Sahyoun Jean-Yves, Matello Veronika, Parolini Barbara

机构信息

Ophthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.

Ophthalmology Unit, Catholic University "Sacro Cuore", 00168 Rome, Italy.

出版信息

Diagnostics (Basel). 2022 Sep 17;12(9):2247. doi: 10.3390/diagnostics12092247.

DOI:10.3390/diagnostics12092247
PMID:36140648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9497586/
Abstract

BACKGROUND

This study reports on the advantages of wide-field (WF)- and ultra-widefield (UWF)- optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) in managing different vitreoretinal diseases in a real-life setting using the new WF-Swept Source (SS)-OCT Xephilio S1 (Canon, Tokyo, Japan).

METHODS

We conducted an observational retrospective case series study involving 1472 eyes that underwent retinal scans with Canon Xephilio OCT-S1 between 1 March 2021 and 1 December 2021 at Eyecare Clinic (Brescia, Italy). All patients underwent routine ophthalmologic examinations along with WF and UWF color fundus retinography with Clarus 500™ (Carl Zeiss Meditec, Inc., Dublin, CA, USA) and Xephilio OCT-S1. WF SS-OCT, UWF-OCT, WF-OCTA, and UWF-OCTA were taken by using Xephilio OCT-S1.

RESULTS

We analyzed 122 peripheral retinal lesions, 144 retinal detachment, 329 high myopic eyes, 37 pediatric cases, 60 vascular retinopathies, 15 choroidal lesions, and 90 eyes as follow-up post vitreoretinal surgery. The OCT-S1 was the only reliable and diagnostic exam for peripheral lesions, pediatric and high myopic cases, and significantly influenced the management in 10% of cases and the postoperative follow-up.

CONCLUSIONS

WF and UWF OCT and OCTA imaging may help in the management of several vitreoretinal diseases, becoming an indispensable tool for the high-quality management of patients.

摘要

背景

本研究报告了使用新型宽视野（WF）扫频光源（SS）-光学相干断层扫描（OCT）Xephilio S1（佳能，东京，日本）在实际临床中，宽视野（WF）和超广角（UWF）光学相干断层扫描（OCT）及光学相干断层扫描血管造影（OCTA）在管理不同玻璃体视网膜疾病方面的优势。

方法

我们进行了一项观察性回顾性病例系列研究，纳入了2021年3月1日至2021年12月1日期间在意大利布雷西亚眼科诊所使用佳能Xephilio OCT-S1进行视网膜扫描的1472只眼。所有患者均接受了常规眼科检查，以及使用Clarus 500™（卡尔蔡司医疗技术公司，都柏林，加利福尼亚州，美国）和Xephilio OCT-S1进行的WF和UWF彩色眼底视网膜成像。使用Xephilio OCT-S1进行WF SS-OCT、UWF-OCT、WF-OCTA和UWF-OCTA检查。

结果

我们分析了122例周边视网膜病变、144例视网膜脱离、329只高度近视眼睛、37例儿科病例、60例血管性视网膜病变、15例脉络膜病变以及90只作为玻璃体视网膜手术后随访的眼睛。OCT-S1是周边病变、儿科和高度近视病例唯一可靠的诊断检查，在10%的病例中对治疗管理和术后随访有显著影响。

结论

WF和UWF OCT及OCTA成像可能有助于管理多种玻璃体视网膜疾病，成为高质量患者管理中不可或缺的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb61/9497586/9c6c54863893/diagnostics-12-02247-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb61/9497586/9c6c54863893/diagnostics-12-02247-g008.jpg
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