视网膜静脉阻塞继发黄斑水肿的OCT特点分析.docVIP

视网膜静脉阻塞继发黄斑水肿的OCT特点分析 　　【摘要】 目的：分析视网膜静脉阻塞（RVO）继发黄斑水肿（ME）患者的Cirrus HD-OCT特点。方法：选择2014年3月-2015年8月在本院经眼底荧光血管造影（FFA）或眼底照相确诊为RVO继发ME的患者20例20只眼作为RVO组，选择年龄匹配的健康人20例20只眼作为对照组，回顾性分析其Cirrus HD-OCT黄斑容积512×128扫描结果。结果：Cirrus HD-OCT结果显示RVO组ME部位视网膜增厚且层间反射降低。1例（5%）外核层（ONL）/外丛状层（OPL）局限性囊泡改变；5例（25%）黄斑区神经上皮增厚，ONL/OPL有液性暗腔；其余14例（70%）均有不同程度混合性水肿，即位于内核层（INL）的囊样水肿，位于ONL/OPL的弥漫性水肿。12例（60%）神经上皮脱离。6例（30%）视网膜内外光感受器的连接部（IS/OS）及外界膜（ELM）完整，余患者均不完整。RVO组9个分区视网膜平均厚度、总容积及总平均厚度均高于对照组，比较差异均有统计学意义（P中国论文网 /6/view-7251329.htm 　　【关键词】 视网膜静脉阻塞； 黄斑水肿； OCT 　　【Abstract】 Objective：To study the characters of the optical coherence tomography of macular edema in patients with retinal vein occlusion.Method：20 eyes of 20 patients who were diagnosed with macular edema secondary to RVO by FFA or fundus photography in our hospital from March 2014 to August 2015 were selected as the RVO group.20 eyes of 20 age-matched healthy persons were selected as the control group.The characters of Cirrus HD-OCT 512×128 scans in both groups were analyzed.Result：The results of Cirrus HD-OCT showed that the edema areas of the retina thickened and the reflectivity reduced in the RVO group.Limitations of vesicle changes was found in ONL/OPL in 1 case（5%）.The thickened neurosensory of macular region and liquidity dark chamber in ONL/OPL were found in 5 cases（25%）.The mixed edema of different extent was found in the left 14 cases（70%），including cystoid edema in the INL and diffuse edema in the ONL/OPL.The detachment of the neurosensory exited in 12 cases（60%）.IS/OS and ELM were integritied in 6 cases（30%），while the left were not.The average thickness of the retina of the nine partitions，the total volume and total average thickness in the RVO group were higher than those in the control group，the differences were statistically significant（P 　　1 资料与方法 　　1.1 一般资料 选择2014年3月-2015年8月在本院住院的经眼底荧光血管造影（fundus fluorescein angiography，FFA）或眼底照相确诊为RVO继发ME的患者20例20只眼为RVO组，其中视网膜分支静脉阻塞（branch retinal vein occlusion，BRVO）10例，视网膜中央静脉阻塞（central retinal ve