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眼上静脉血栓形成后的纵向 SS-OCT 脉络膜成像

Longitudinal SS-OCT choroidal imaging following thrombosis of the superior ophthalmic vein.

作者信息

Shen Mengxi, Iyer Prashanth G, Zhou Hao, Cheng Yuxuan, Liu Jeremy, Trivizki Omer, Wang Ruikang K, Gregori Giovanni, Rosenfeld Philip J

机构信息

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.

Department of Bioengineering, University of Washington, Seattle, WA, USA.

出版信息

Am J Ophthalmol Case Rep. 2024 Jul 25;36:102130. doi: 10.1016/j.ajoc.2024.102130. eCollection 2024 Dec.

Abstract

PURPOSE

To report longitudinal changes in choroidal thickness and the choroidal vasculature using SS-OCT imaging in a patient with superior ophthalmic vein thrombosis (SOVT).

OBSERVATIONS

In a 93-year-old woman with a left-sided SOVT, the choroid in the left eye was thickened and the choroidal vessels were dilated both superiorly and inferiorly, with greater changes evident in the inferotemporal region of the choroid. After the superior ophthalmic vein was decompressed, a decrease in the choroidal thickness and choroidal vessel dilatation was observed both superiorly and inferiorly.

CONCLUSIONS AND IMPORTANCE

In an eye with thrombosis of the superior ophthalmic vein, longitudinal SS-OCT choroidal imaging showed a greater increase in choroidal thickness and choroidal vessel dilation away from the obstructed quadrant, which improved after treatment. These observations associated with outflow obstruction may be applicable to other choroidal diseases characterized by venous overload.

摘要

目的

报告使用频域光学相干断层扫描(SS-OCT)成像技术对一名患有眼上静脉血栓形成(SOVT)患者脉络膜厚度和脉络膜血管系统的纵向变化情况。

观察结果

在一名93岁左侧SOVT女性患者中,左眼脉络膜增厚,脉络膜血管上下方均扩张,脉络膜颞下区域变化更明显。眼上静脉减压后,观察到脉络膜厚度和脉络膜血管扩张在上下方均有所减轻。

结论及重要性

在患有眼上静脉血栓形成的眼中,纵向SS-OCT脉络膜成像显示远离阻塞象限的脉络膜厚度增加和脉络膜血管扩张更为明显,治疗后有所改善。这些与流出道阻塞相关的观察结果可能适用于其他以静脉超负荷为特征的脉络膜疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b0/11328022/9730005d1c88/gr1.jpg

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