光学相干断层扫描在巨细胞病毒性视网膜炎治疗中的应用

Application of optical coherence mography on the cytomegalovirus retinitis treatment

目的探讨光学相干断层扫描(OCT)在巨细胞病毒性视网膜炎(CMVR)治疗中的观察与应用。方法采用海德堡SPEC-TRALIS-OCT仪器检查本院眼科门诊于2015年1月至2016年1月就诊的CMVR患者共30例。入组患者均接受玻璃体腔注射更昔洛韦治疗,并在注射前后进行OCT检查及随访,观察治疗效果。结果 30例患者中5例未完成治疗无法跟踪随访;25例活动性病变吸收,视力较治疗前有明显改善,视网膜出血及渗出减少。结论 OCT在CMVR治疗中的病情监测及预后效果对比等方面均具有重要的应用价值。

Objective To explore the application of optical coherence tomography(OCT)on the treatment of cytomegalovirus retinitis(CMVR).Methods Total of30patients with CMVR were checked by SPEC-TRALIS Heidelberg-OCT equipment in our ophthalmic clinic between January2015and January2016.All patients were treated with the ganciclovir injection in the vitreous cavity and the OCT examination,then follow-up were performed before and after the treatment to observe the therapeutic effect.Results Five cases among the30patients were unable to finish the follow-up.There were25cases of active lesions were absorbed and the vision was significantly improved before treatment,and the retinal hemorrhage and seepage decreased.Conclusion OCT had important application value in CMVR treatment and comparison of prognosis.