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]