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[摘要]
目的:研究眼底荧光血管造影(FFA)和光学相干断层扫描(OCT)检查在葡萄膜炎诊疗中的临床影像学价值。
方法:选取2014-04/2016-04在本院接受治疗的葡萄膜炎患者共140例244眼,其中双眼发病患者104例208眼,单眼发病患者36例36眼,患者均经过病史询问、裂隙灯、检眼镜、眼B超等检查确诊是葡萄膜炎。依据葡萄膜炎的解剖部位分成:前葡萄膜炎患者72例132眼,中间葡萄膜炎患者24例48眼,后葡萄膜炎患者28例40眼,全葡萄膜炎患者16例24眼。对以上患者行FFA与OCT检查,评估患者眼底的病变情况。
结果:前葡萄膜炎的检出率为46.2%,中间葡萄膜炎的检出率为43.8%,后葡萄膜炎的检出率为45.0%,全葡萄膜炎的检出率为54.2%,前葡萄膜炎患者出现的眼底炎症性病变多位于眼底周边部,后葡萄膜炎和全葡萄膜炎患者的眼底炎症主要位于后极部位。
结论:FFA客观反映了葡萄膜炎对视网膜产生的影响,帮助了解患者脉络膜、视神经和视网膜的病变程度,从而使用合适的方法进行治疗; OCT则为患者提供了客观、直接的评价手段。
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[Abstract]
AIM: To study the clinical value of fundus fluorescein angiography(FFA)and optical coherence tomography(OCT)in the diagnosis and treatment of uveitis.
METHODS: From April 2014 to April 2016 in our hospital for treatment of patients with uveitis were 140 cases, including 104 cases of patients with binocular incidence in 208 eyes and 36 patients with unilateral disease. All of patients after history, slit lamp, direct ophthalmoscopy and B-scan examination was the diagnosis of uveitis. Based on the anatomy of uveitis was divided into: 72 cases of patients with anterior uveitis in 132 eyes, 24 cases of patients with intermediate uveitis in 48 eyes, posterior uveitis in 28 eyes of 40 patients, 16 patients with panuveitis in 24 eyes. FFA and OCT were used to detect the pathological changes of the fundus of the patients.
RESULTS: The detection of anterior uveitis was 46.2%, the detection rate of 43.8% intermediate uveitis, posterior uveitis detection rate was 45.0%, the detection rate of 54.2% panuveitis. Patients with anterior uveitis diseased were mainly in peripheral fundus, inflammation, posterior uveitis and panuveitis patients were mainly located in the posterior pole position, and were accompanied by vascular leakage.
CONCLUSION: FFA objectively reflects the effect of uveitis on the retina, helping doctors to understand the extent of their choroidal, optic nerve and retinal lesions, and thus the use of appropriate methods for treatment; OCT for patients with an objective and direct means of evaluation.
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