Bindewald-Wittich Almut, Alkabouni Mohammad Wesam, Wolf Armin
Klinik für Augenheilkunde, Universitätsklinikum Ulm, Prittwitzstr. 43, 89075, Ulm, Deutschland.
Ophthalmologie. 2025 Feb;122(2):144-156. doi: 10.1007/s00347-024-02181-8. Epub 2025 Jan 27.
Comprehensive multimodal imaging is essential for the precise clinical diagnostics of neovascular age-related macular degeneration (nAMD). Noninvasive optical coherence tomography (OCT) is of prime importance regarding the baseline examination, follow-up and monitoring during treatment. The OCT imaging in nAMD eyes enables a high-resolution assessment of the retinal micromorphology, which can be considerably disturbed in different layers. A large number of pathological OCT alterations represent distinct micromorphological OCT biomarkers. These should be taken into account in the assessment of OCT images. This article covers the following important biomarkers: intraretinal, subretinal and subpigment epithelial fluid, outer retinal tubulations, ellipsoid zone integrity, hyperreflective foci, subretinal drusenoid deposits, onion sign, hyporeflective prechoroidal cleft, double layer sign, subretinal hyperreflective material and bacillary layer detachment.
综合多模态成像对于新生血管性年龄相关性黄斑变性(nAMD)的精确临床诊断至关重要。无创光学相干断层扫描(OCT)在基线检查、治疗期间的随访和监测方面具有首要重要性。nAMD患者眼睛的OCT成像能够对视网膜微观形态进行高分辨率评估,不同层的微观形态可能会受到显著干扰。大量病理性OCT改变代表了独特的微观形态学OCT生物标志物。在评估OCT图像时应考虑这些因素。本文涵盖以下重要生物标志物:视网膜内、视网膜下和色素上皮下液体积聚、视网膜外层管状结构、椭圆体带完整性、高反射灶、视网膜下类玻璃膜疣沉积物、洋葱征、脉络膜前低反射间隙、双层征、视网膜下高反射物质和杆菌层脱离。