紅外線及自發(fā)熒光影像在糖尿病性黃斑水腫診斷中的價值
發(fā)布時間：2018-11-02 08:07
【摘要】：目的觀察糖尿病性黃斑水腫(diabetic macular edema,DME)的眼底紅外線(infrared ray,IR)和自發(fā)熒光(autofluorescence,AF)的影像學特點并初步評估它們在DME臨床診斷中的應用價值。方法采用Spectralis HRA海德堡共焦激光掃描系統(tǒng)的IR模式和AF模式,對133例239眼DME患者行IR及AF眼底照相、眼底熒光血管造影(fundus fluorescence angiography,FFA)及光學相干斷層掃描(optical coherence tomography,OCT)檢查,分析IR和AF的影像學特點。結果 239眼中,AF有異常影像的182眼(76.15%),IR有異常影像的161眼(67.36%)。AF及IR同時有異常影像的有161眼(67.36%),其中AF、IR同時為低熒光者38眼(15.90%),AF、IR同時為高熒光者35眼(14.64%),AF為低熒光、IR呈高熒光者51眼(21.34%),AF為高熒光、IR呈低熒光者27眼(11.30%),AF、IR同時存在低、高熒光者10眼(4.18%);AF異常、IR正常21眼(8.79%);AF及IR均正常57眼(23.85%)。結論 AF診斷DME的敏感度較高,AF聯(lián)合IR診斷DME更能較準確地判斷DME患者的視網膜及脈絡膜的損傷程度。
[Abstract]:Objective to observe the imaging features of fundus infrared (infrared ray,IR) and autofluorescence (autofluorescence,AF) in diabetic macular edema (diabetic macular edema,DME) and to evaluate their value in the clinical diagnosis of DME. Methods the IR and AF modes of Spectralis HRA Heidelberg confocal laser scanning system were used to examine 133 cases of DME with IR and AF fundus photography, fundus fluorescein angiography (fundus fluorescence angiography,FFA) and optical coherence tomography (optical coherence tomography,OCT). The imaging features of IR and AF were analyzed. Results there were 182 eyes (76.15%) with abnormal images in AF (76.15%), and 161 eyes (67.36%) with). AF and IR (67.36%). AF, was found in 18eyes (67.36%). There were 38 eyes (15.90%) with low IR, 35 eyes (14.64%) with high AF,IR and 51 eyes (21.34%) with high IR (21.34%), AF). IR showed low fluorescence in 27 eyes (11.30%), low AF,IR and high fluorescence in 10 eyes (4.18%). AF was abnormal, IR was normal in 21 eyes (8.79%); AF and IR were normal in 57 eyes (23.85%). Conclusion the sensitivity of AF in the diagnosis of DME is higher. AF combined with IR can more accurately judge the degree of retinal and choroidal injury in DME patients.
【作者單位】： 中南大學湘雅醫(yī)學院附屬海口醫(yī)院;�？谑腥嗣襻t(yī)院眼科;
【基金】：海南省衛(wèi)生廳醫(yī)學科研項目(編號:瓊衛(wèi)2012-PT-54)~~
【分類號】：R587.2;R774.5
，
本文編號：2305430
[Abstract]:Objective to observe the imaging features of fundus infrared (infrared ray,IR) and autofluorescence (autofluorescence,AF) in diabetic macular edema (diabetic macular edema,DME) and to evaluate their value in the clinical diagnosis of DME. Methods the IR and AF modes of Spectralis HRA Heidelberg confocal laser scanning system were used to examine 133 cases of DME with IR and AF fundus photography, fundus fluorescein angiography (fundus fluorescence angiography,FFA) and optical coherence tomography (optical coherence tomography,OCT). The imaging features of IR and AF were analyzed. Results there were 182 eyes (76.15%) with abnormal images in AF (76.15%), and 161 eyes (67.36%) with). AF and IR (67.36%). AF, was found in 18eyes (67.36%). There were 38 eyes (15.90%) with low IR, 35 eyes (14.64%) with high AF,IR and 51 eyes (21.34%) with high IR (21.34%), AF). IR showed low fluorescence in 27 eyes (11.30%), low AF,IR and high fluorescence in 10 eyes (4.18%). AF was abnormal, IR was normal in 21 eyes (8.79%); AF and IR were normal in 57 eyes (23.85%). Conclusion the sensitivity of AF in the diagnosis of DME is higher. AF combined with IR can more accurately judge the degree of retinal and choroidal injury in DME patients.
【作者單位】： 中南大學湘雅醫(yī)學院附屬海口醫(yī)院;�？谑腥嗣襻t(yī)院眼科;
【基金】：海南省衛(wèi)生廳醫(yī)學科研項目(編號:瓊衛(wèi)2012-PT-54)~~
【分類號】：R587.2;R774.5
，
本文編號：2305430
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