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糖尿病患者有临床意义黄斑水肿的OCT临床分型 被引量:4

Clinical classification of OCT in CSME patients with diabetes
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摘要 目的用光学相干断层扫描(OCT)研究糖尿病患者有临床意义的黄斑水肿(CSME)的临床分型。方法对75例患者104只眼,经裂隙灯三面镜检查诊断为糖尿病性视网膜病变Ⅰ-Ⅳ期(包括Ⅳ期)者,行眼底荧光血管造影(FFA)及黄斑区光学相干断层扫描(OCT)检查,根据1985年CSME诊断标准诊断为CSME,对其OCT图像进行分型。结果糖尿病患者CSME的OCT分型分为五型:弥漫性黄斑水肿占37.5%(39/104)。黄斑囊样水肿占20.2%(21/104),弥漫性黄斑水肿伴浆液性神经上皮层脱离占18.3%(19/104),黄斑前膜伴神经上皮层水肿占13.5%(14/104),后玻璃体牵引伴黄斑水肿10.6%(11/104);另有黄斑前膜伴裂孔形成1例。结论OCT对CSME的诊断以及治疗后的随访有重要的价值。是临床观察CSME必不可少的检查手段。 Objective To investigate the classification of OCT in CSME patients with diabetes. Methods One hundred and four eyes of 75 patients with diabetes diagnosed diabetic retinopathy were exam- ined with FFA and OCT.According to the standard of 1985, the patients were diagnosed CSME.The figures of their macular morphology examined by OCT were classified.Results The figures were classified into 5 types, including diffused macular edema (37.5%), cystoid macular edema (20.2%), Serous macular detachment with macular edema (18.3% ), epimacular membrane with macular edema (13.5% )and taut thickened posterior hyaloid with macular edema( 10.6%).Conclusions OCT is an indispensable tool when treating CSME.
出处 《中国实用眼科杂志》 CSCD 北大核心 2009年第3期251-254,共4页 Chinese Journal of Practical Ophthalmology
基金 基金项目:卫生部部属(管)医院临床学科重点项目(2007353) 广东省医学科学技术研究基金(A210) 中山大学临床医学研究5010计划[中大医科(2007)9号]
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  • 1Davidson JA, Ciulla TA, McGill JB et al.How the diabetic eye loses vision.Endocrine, 2007,32 ( 1 ) : 107-116.
  • 2Pascale Massin, Aniz Girach ,Ali Erginay et al.Optical coherence tomography:a key to the future management of patients with diabetic macular Oedema.Acta Ophthalmol Scand, 2006,84 (4) : 466- 474.
  • 3Early Treatment Diabetic Retinopathy Study Research Group:Photocoagulation for diabetic macular edema:Early Treatment Diabetic Retinopathy Study Report No.1.Arch Ophthalmol, 1985,103( 12 ): 1796 - 1806.
  • 4Carsten H.Meyer.Current treatment approaches in diabetic macular edema.Ophthalmologica, 2007,221 : 118-131.
  • 5王光璐,马凯,张风,熊颖.糖尿病视网膜病变患者黄斑病变的光学相干断层扫描[J].中华眼底病杂志,2001,17(3):184-186. 被引量:47
  • 6于强,张欣,陈景荣,刘杏,余敏忠.糖尿病视网膜病变黄斑区的光学相干断层扫描及多焦视网膜电图图像特征[J].中国实用眼科杂志,2000,18(12):758-760. 被引量:8
  • 7Brian.Kim,Scott D.Smith,MPH et al.Optical Coherence Tomographic Patterns of Diabetic Macular Edema.Am J Ophthalmol, 2006,142( 3 ) : 405-412.
  • 8Hakan Ozdemir,Murat Karacodu ,Serra Karacorlu.Serous rnacular detachment in diabetic cystoid maeular oedema.Aeta Ophthalmol Scand, 2005,83 ( 1 ) : 63-66.
  • 9Andreas Bringmann, Andreas Reichenbach, Peter Wiedemann.Pathomechanisms of Cystoid Macular Edema.Ophthalmic Res, 2004,36 (4) :241-249.
  • 10Thomas D,Bunce C,Moorman C et al.Frequency and associations of a taut thickened posterior hyaloid, partial vitreomacular separation, and subretinal fluid in patients with diabetic macular edema. Retina, 2005,25 ( 7 ) : 883-888.

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