基于频域光学相干断层扫描观察子痫前期患者的浆液性视网膜脱离特征。

The features of serous retinal detachment in preeclampsia viewed on spectral-domain optical coherence tomography.

机构信息

Department of Ophthalmology, The Second Hospital of Tianjin Medical University, Tianjin Institute of Orbital Disease, Tianjin, 300211, China.

出版信息

Pregnancy Hypertens. 2024 Jun;36:101117. doi: 10.1016/j.preghy.2024.101117. Epub 2024 Feb 29.

DOI:10.1016/j.preghy.2024.101117

PMID:38428345

Abstract

OBJECTIVE

To evaluate the characteristics of serous retinal detachment on spectral-domain optical coherence tomography in preeclampsia.

METHODS

In this retrospective case-series study, clinical characteristics of retinal damage were evaluated using spectral-domain optical coherence tomography (SD-OCT) imaging.

RESULTS

Thirty affected eyes from 16 pregnant women with preeclampsia were included. The features of serous retinal detachment, observed using SD-OCT, consisted of lesions located in the macular or peripapillary region; the presence of intraretinal or subretinal fluid (intraretinal fluid, IRF; subretinal fluid, SRF); ellipsoid zone integrity (normal/abnormal); intraretinal hyper-reflective dots; and Elschnig spots (retinal pigment epithelium lesions). Of the 30 affected eyes, 25 (83.33%) had lesions located in the macular region, 19 (63.33%) outside the macula (in the peripapillary region), and 14 (46.67%) in both. SD-OCT showed IRF in 2 eyes (6.67%), SRF in 30 eyes (100.00%), and both in 2 eyes (6.67%). The ellipsoid zone was disrupted in 20 eyes (66.67%), intraretinal hyper-reflective dots were observed in 4 eyes (13.33%), and Elschnig spots were observed in 20 eyes (66.67%).

CONCLUSION

Spectral-domain optical coherence tomography is a non-invasive, reliable imaging tool for the assessment of retinal pathologies in preeclampsia.

摘要

目的

评估子痫前期患者频域光相干断层扫描（SD-OCT）下浆液性视网膜脱离的特征。

方法

本回顾性病例系列研究使用 SD-OCT 成像评估视网膜损伤的临床特征。

结果

纳入了 16 例子痫前期孕妇的 30 只受累眼。SD-OCT 观察到的浆液性视网膜脱离特征包括病变位于黄斑或视盘周围区域；存在视网膜内或视网膜下液（视网膜内液，IRF；视网膜下液，SRF）；椭圆体带完整性（正常/异常）；视网膜内高反射点；Elschnig 斑（视网膜色素上皮病变）。在 30 只受累眼中，25 只（83.33%）病变位于黄斑区，19 只（63.33%）病变位于黄斑外（视盘周围区域），14 只（46.67%）病变同时位于黄斑区和视盘周围区域。SD-OCT 显示 2 只眼（6.67%）存在 IRF，30 只眼（100.00%）存在 SRF，2 只眼（6.67%）同时存在两者。20 只眼（66.67%）的椭圆体带中断，4 只眼（13.33%）观察到视网膜内高反射点，20 只眼（66.67%）观察到 Elschnig 斑。