《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (02): 181-182.

• 临床研究 • 上一篇    下一篇

视网膜前膜光学相干断层扫描图像分析

王炜; 崔霞; 张鲲; 李晓陵   

  1. 解放军总医院眼科,北京市 100853
  • 收稿日期:2006-07-27 出版日期:2007-02-01 发布日期:2007-02-01

Optical Coherence Tomography Imaging Analysis of Epiretinal Membrane

WANG Wei, CUI Xia, ZHANG Kun, et al   

  1. The Department of Ophthalmology, the General Hospital of PLA, Beijing 100853, China
  • Received:2006-07-27 Published:2007-02-01 Online:2007-02-01

PDF (PC)

摘要： 目的探讨光学相干断层扫描(OCT)检查对黄斑区视网膜前膜临床诊断和术后的评估价值。方法对在我院眼底检查拟诊或诊断为黄斑区视网膜前膜的49例患者(61眼)术前及术后进行OCT检查。结果黄斑区视网膜前膜的OCT图像表现为视网膜表面厚薄不一的高反光带,部分视网膜内表面完全紧密粘连,大部分与视网膜内层分离,多数为黄斑中心凹变浅,厚度增加,部分可伴黄斑假性裂孔、板层裂孔、黄斑囊样水肿或视网膜神经上皮脱离。术后黄斑区视网膜前膜消失,部分黄斑区神经上皮损害或黄斑部不同程度水肿。结论OCT检查可直接客观显示黄斑区前膜及术后黄斑区视网膜组织结构的改变。

关键词: 光学相干断层扫描, 视网膜, 前膜

Abstract: ObjectiveTo evaluate the value of optical coherence tomography (OCT) in the diagnosis and therapy of epiretinal membrane (EM) in the macular.MethodsForty-nine cases (61 eyes) of EM patients were examined with OCT before and after operation.ResultsThe EM in the macular revealed a high reflex belt in the surface of the retina. The thickness of the reflex belt were different. With some patients, the belt adhered to the inner layer of the retina and with most patients, the belt was separated from the retina. Shallow foveolar and increased thickness of the retina ccould usually been seen. Part cases complicated with false macular hole, laminar hole, cystoid macular edema or detachment of the neuroepithelium. After operation, the reflex belt disappeared. The damage of the macular neruoepithelium and macular edema remained in part cases.ConclusionOCT can objectively reveal the EM and the change of the retina structure after operation.

Key words: optical coherence tomgraphy, retinal, epiretinal membrane