目的:应用第四代傅立域光学相干断层扫描(fourier-do-main optical coherence tomography,FDOCT)对中心性浆液性脉络膜视网膜病变(central serous chorioretinopathy,CSC)的FDOCT表现及视网膜光凝术后黄斑体积变化情况进行动态观察。方法:对40例40眼经眼底荧光血管造影(fluorescein fun-dus angiography,FFA)确诊为CSC的患者,先行FDOCT检查,观察其黄斑结构变化;再行532激光治疗后跟踪FDOCT检查。结果:FDOCT显示CSC有视网膜神经上皮层或合并视网膜色素上皮层(RPE)脱离、RPE层断裂三种表现。激光治疗后病员视力恢复情况与黄斑体积缩小相一致。结论:FDOCT在CSC的诊断中对FFA有补充和完善,对CSC激光治疗的预后估计有临床指导意义。

AIM:To explore the clinical application of fourier-domain optical coherence tomography (FD OCT) in central serous choroiretinopathy(CSC).METHODS:Fourty patients 40 eyes diagnosed with CSC by fluorescein fundus angiography (FFA) underwent FD OCT to observe the changes of macula,then they were treated with 532 laser,and FD OCT was traced.RESULTS:Neurosensory retina or combined with retinal pigment epithelium(RPE) detachment and RPE fracture were observed.The recovery of visual acuity post-laser therapy was consistent with the loss of macular volume.CONCLUSION:FD OCT could replenish and improve FFA in CSC diagnosis and display a clinical significance for estimated prognosis in CSC post-laser therapy.

R774.1