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广角光学相干断层扫描血管造影术检测孔源性视网膜脱离治疗后眼中的术后增殖情况

Postoperative Proliferation Detection in Eyes Treated for Rhegmatogenous Retinal Detachment by WideField OCT Angiography.

作者信息

Fukuda Yosuke, Ishikawa Keijiro, Kiyohara Kohei, Maehara Yusuke, Ji Rui, Mori Kenichiro, Kobayashi Yoshiyuki, Akiyama Masato, Nakama Takahito, Notomi Shoji, Shiose Satomi, Takeda Atsunobu, Sonoda Koh-Hei

机构信息

Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Department of Ophthalmology, Aso Iizuka Hospital, Fukuoka, Japan.

出版信息

Transl Vis Sci Technol. 2024 Aug 1;13(8):13. doi: 10.1167/tvst.13.8.13.

DOI:10.1167/tvst.13.8.13
PMID:39115838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11316450/
Abstract

PURPOSE

Proliferative retinal changes may occur postsurgery for rhegmatogenous retinal detachment (RRD), possibly preceding recurrent detachment. This study aims to establish the groundwork for an imaging system capable of discerning changes in retinal vessel tortuosity after RRD repair, analyzing widefield optical coherence tomography angiography (WF-OCTA) images.

METHODS

Eighty-eight eyes of 86 patients with RRD who underwent surgical procedures and had repeated imaging with clear widefield optical coherence tomography (WF-OCT) and WF-OCTA on different postoperative days were enrolled in this retrospective study. We compared WF-OCTA images over time to identify alterations in retinal vessel tortuosity and observed regional changes in retinal morphology.

RESULTS

After image processing, changes in retinal vessel tortuosity were detected in 66 quadrants. These changes, attributed to retinal traction from proliferative membranes, were observed in 56 quadrants, among which retinal thickness remained unchanged in seven sectors (12.5%) according to the WF-OCT map. In nine quadrants, changes in retinal vessel tortuosity were attributed to changes in subretinal fluid, aligning with observable variations in retinal thickness.

CONCLUSIONS

Observation of vessel tortuosity changes using WF-OCTA can help detect early postoperative proliferative changes in eyes with RRD.

TRANSLATIONAL RELEVANCE

Because WF-OCTA can detect minute vessel tortuosity changes, it can offer a noninvasive alternative for the detection of early postoperative proliferative changes.

摘要

目的

孔源性视网膜脱离（RRD）手术后可能会出现视网膜增殖性改变，这可能先于复发性视网膜脱离。本研究旨在为一种能够识别RRD修复后视网膜血管迂曲变化的成像系统奠定基础，对超广角光学相干断层扫描血管造影（WF-OCTA）图像进行分析。

方法

本回顾性研究纳入了86例接受手术治疗的RRD患者的88只眼，这些患者在术后不同时间进行了清晰的超广角光学相干断层扫描（WF-OCT）和WF-OCTA重复成像。我们比较不同时间的WF-OCTA图像，以识别视网膜血管迂曲的变化，并观察视网膜形态的区域变化。

结果

经过图像处理，在66个象限中检测到视网膜血管迂曲的变化。这些变化归因于增殖膜引起的视网膜牵拉，在56个象限中观察到，根据WF-OCT图，其中7个扇区（12.5%）的视网膜厚度保持不变。在9个象限中，视网膜血管迂曲的变化归因于视网膜下液的变化，与视网膜厚度的可观察到的变化一致。

结论

使用WF-OCTA观察血管迂曲变化有助于检测RRD患者术后早期的增殖性变化。

转化相关性

由于WF-OCTA可以检测到微小的血管迂曲变化，它可以为检测术后早期增殖性变化提供一种非侵入性的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/d8de5c39651f/tvst-13-8-13-f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/38be181df535/tvst-13-8-13-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/69cb9f5b86e2/tvst-13-8-13-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/18cadac41d7a/tvst-13-8-13-f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/d8de5c39651f/tvst-13-8-13-f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/38be181df535/tvst-13-8-13-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/69cb9f5b86e2/tvst-13-8-13-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/18cadac41d7a/tvst-13-8-13-f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/653d/11316450/d8de5c39651f/tvst-13-8-13-f004.jpg

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本文引用的文献

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UWAFA-GAN: Ultra-Wide-Angle Fluorescein Angiography Transformation via Multi-Scale Generation and Registration Enhancement.UWAFA-GAN：通过多尺度生成和配准增强实现超广角荧光血管造影转换
IEEE J Biomed Health Inform. 2024 Aug;28(8):4820-4829. doi: 10.1109/JBHI.2024.3394597. Epub 2024 Aug 6.
2
Retinal detachment.视网膜脱离。
Nat Rev Dis Primers. 2024 Mar 14;10(1):18. doi: 10.1038/s41572-024-00501-5.
3
Primary Retinal Detachment Repair in Eyes Deemed High Risk for Proliferative Vitreoretinopathy: Surgical Outcomes in 389 Eyes.
原发性视网膜脱离修复术在被认为存在增殖性玻璃体视网膜病变高风险的眼中：389 只眼中的手术结果。
Ophthalmol Retina. 2023 Nov;7(11):954-958. doi: 10.1016/j.oret.2023.07.009. Epub 2023 Jul 13.
4
Effects of internal limiting membrane peeling on anatomical and functional outcomes in macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy: Japan-Retinal Detachment Registry.内界膜剥除对合并增生性玻璃体视网膜病变的孔源性视网膜脱离黄斑区脱离的解剖和功能结局的影响：日本视网膜脱离登记研究。
Jpn J Ophthalmol. 2023 Jul;67(4):417-423. doi: 10.1007/s10384-023-01000-y. Epub 2023 Jun 8.
5
Fractal analysis of the macular region in healthy eyes using swept-source optical coherence tomography angiography.使用扫频源光学相干断层扫描血管造影术对健康眼睛黄斑区进行分形分析。
Graefes Arch Clin Exp Ophthalmol. 2023 Oct;261(10):2787-2794. doi: 10.1007/s00417-023-06117-x. Epub 2023 May 18.
6
Stratifying the risk of re-detachment: variables associated with outcome of vitrectomy for rhegmatogenous retinal detachment in a large UK cohort study.分层再脱离风险：大型英国队列研究中与孔源性视网膜脱离玻璃体切割术后结局相关的变量。
Eye (Lond). 2023 Jun;37(8):1527-1537. doi: 10.1038/s41433-023-02388-0. Epub 2023 Apr 25.
7
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