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眼表病变的高分辨率眼前节光学相干断层扫描:综述与手册

High resolution anterior segment optical coherence tomography of ocular surface lesions: A review and handbook.

作者信息

Venkateswaran Nandini, Mercado Carolina, Wall Sarah C, Galor Anat, Wang Jianhua, Karp Carol L

机构信息

Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.

Bascom Palmer Eye Institute, University of Miami, Miami, Florida, USA.

出版信息

Expert Rev Ophthalmol. 2021;16(2):81-95. doi: 10.1080/17469899.2021.1851598. Epub 2020 Dec 28.

Abstract

INTRODUCTION

High resolution anterior segment optical coherence tomography (HR-OCT) has revolutionized the way by which clinicians can diagnose and differentiate ocular surface lesions. Careful interpretation of HR-OCT images can provide morphological information about the lesion of interest and help guide the diagnosis.

AREAS COVERED

This paper reviews the steps to interpreting HR-OCT images of ocular surface lesions and summarizes their characteristic findings.

EXPERT OPINION

Among the multiple modalities available to image the ocular surface and anterior segment, HR-OCT has emerged as an instrumental tool to obtain "optical biopsies" of various ocular surface lesions. A step-by-step approach to acquiring and interpreting HR-OCT images can allow for accurate in-office characterization and diagnosis of both benign and malignant ocular surface lesions.

摘要

引言

高分辨率眼前节光学相干断层扫描(HR-OCT)彻底改变了临床医生诊断和鉴别眼表病变的方式。仔细解读HR-OCT图像可以提供有关感兴趣病变的形态学信息,并有助于指导诊断。

涵盖领域

本文回顾了解读眼表病变HR-OCT图像的步骤,并总结了其特征性表现。

专家观点

在用于眼表和眼前节成像的多种模式中,HR-OCT已成为获取各种眼表病变“光学活检”的重要工具。采用循序渐进的方法获取和解读HR-OCT图像,可以在门诊准确地对良性和恶性眼表病变进行特征描述和诊断。

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