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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术用于检测青光眼进展。第2部分。临床与功能相关性、晚期青光眼监测及该方法的局限性]

[Optical coherence tomography and optical coherence tomography angiography for detecting glaucoma progression. Part 2. Clinical and functional correlations, monitoring of advanced glaucoma and limitations of the method].

作者信息

Kurysheva N I, Nikitina A D

机构信息

Medical Biological University of Innovations and Continuing Education of the Federal Medical Biophysical Center named after A.I. Burnazyan, Moscow, Russia.

Ophthalmological Center of the Federal Medical-Biological Agency of the Federal Medical Biophysical Center named after A.I. Burnazyan, Moscow, Russia.

出版信息

Vestn Oftalmol. 2023;139(2):76-83. doi: 10.17116/oftalma202313902176.

Abstract

The purpose of this study is to analyze the literature on the role of optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) in the diagnosis of glaucoma. This review considers the structural and functional correlations observed during the progression of glaucomatous optic neuropathy, as well as the capabilities of the method in late glaucoma, describes the strengths and weaknesses of OCT and OCTA, and pays particular attention to the role of OCT in assessing the effectiveness of treatment. Optical coherence tomography is the main method for determining the progression of glaucoma, which plays a key role in the choice of treatment algorithm. However, the use of OCT in far advanced glaucoma has certain particularities and limitations. OCTA can be helpful in overcoming this problem.

摘要

本研究的目的是分析关于光学相干断层扫描(OCT)和光学相干断层扫描血管造影(OCTA)在青光眼诊断中作用的文献。本综述考虑了青光眼性视神经病变进展过程中观察到的结构和功能相关性,以及该方法在晚期青光眼方面的能力,描述了OCT和OCTA的优缺点,并特别关注OCT在评估治疗效果中的作用。光学相干断层扫描是确定青光眼进展的主要方法,在治疗算法的选择中起关键作用。然而,在晚期青光眼患者中使用OCT有一定的特殊性和局限性。OCTA有助于克服这一问题。

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