Zhang Jinyan, Huo Qianqian, Xia Deyu, Wang Mingfang, Li Xiuyun
Affiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China.
Front Ophthalmol (Lausanne). 2023 Feb 6;3:1116391. doi: 10.3389/fopht.2023.1116391. eCollection 2023.
Diabetic retinopathy (DR) is the most common microvascular complication of diabetes and one of the leading causes of global blinding. More attention should be paid to the diagnosis, treatment and prognosis of DR. Swept-source optical coherence tomography angiography (SS-OCTA) is a novel imaging technique presented in recent years. It can accurately present the various levels of the retina, choriocapillaris, macula, and the optic papillary microcirculation, which is new to the diagnosis and prognosis of DR. However, SS-OCTA is limited by poor fixation or severe media clouding and is susceptible to motion artefacts and segmentation errors. Future limitations need to be addressed and large prospective trials conducted to refine the relevance of SS-OCTA to DR. The present study reviews the advances in clinical application of SS-OCTA in diagnosis, treatment and prognosis of DR.
糖尿病视网膜病变(DR)是糖尿病最常见的微血管并发症,也是全球失明的主要原因之一。应更加关注DR的诊断、治疗和预后。扫频光学相干断层扫描血管造影(SS-OCTA)是近年来出现的一种新型成像技术。它可以准确呈现视网膜、脉络膜毛细血管、黄斑以及视乳头微循环的各个层面,这对DR的诊断和预后具有创新性。然而,SS-OCTA受注视不佳或严重介质混浊的限制,易出现运动伪影和分割错误。未来需要解决这些局限性,并开展大型前瞻性试验以完善SS-OCTA与DR的相关性。本研究综述了SS-OCTA在DR诊断、治疗和预后方面的临床应用进展。