Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore, Singapore.
Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.
Surv Ophthalmol. 2024 Mar-Apr;69(2):253-264. doi: 10.1016/j.survophthal.2023.10.005. Epub 2023 Oct 5.
Assessing anterior chamber inflammation is highly subjective and challenging. Although various grading systems attempt to offer objectivity and standardization, the clinical assessment has high interobserver variability. Traditional techniques, such as laser flare meter and fluorophotometry, are not widely used since they are time-consuming. With the development of optical coherence tomography with high sensitivity, direct imaging offers an excellent alternative to assess objectively inflammation with the potential for automated analysis. We describe various anterior chamber inflammation grading methods and discuss their utility, advantages, and disadvantages.
评估前房炎症具有高度主观性和挑战性。尽管各种分级系统试图提供客观性和标准化,但临床评估存在观察者间高度变异性。传统技术,如激光闪烁计和荧光光度法,由于耗时,因此未广泛使用。随着高灵敏度光学相干断层扫描技术的发展,直接成像提供了一种极好的替代方法,可以客观地评估炎症,并具有自动分析的潜力。我们描述了各种前房炎症分级方法,并讨论了它们的实用性、优点和缺点。