[关键词]
[摘要]
糖尿病视网膜病变是糖尿病引起的微血管病变中最常见的疾病,晚期对视力危害极大,如不及时治疗,可致盲。糖尿病视网膜病变以往诊治、随访主要依据荧光素眼底血管造影,因其操作有创、容易发生过敏不良反应等副作用在临床应用中有一定的局限性。近年兴起的光学相干断层扫描血管成像无创、快速、眼底血管成像分辨率高,它不仅可以分层显示视网膜脉络膜血管网信息,而且能定量分析黄斑区血流变化情况,并且首次实现在活体上对视盘、黄斑区的血流分析达到组织解剖水平,应用前景广阔,越来越受眼科医生的青睐。本文就OCTA在糖尿病视网膜病变中的临床应用现状进行简要综述。
[Key word]
[Abstract]
Diabetic retinopathy is the most common disease of microvascular diseases caused by diabetes. It is harmful to vision in the late stage. If not treated in time, it can cause blindness. The diagnosis, treatment and follow-up of diabetic retinopathy were mainly based on fundus fluorescein angiography. There are some limitations in the clinical application because of the side effects of its operation, such as invasive, allergic and adverse reactions. Recently, optical coherence tomography has become more and more popular among ophthalmologists for its noninvasive, rapid and high resolution fundus angiography. It cannot only display the choroidal vascular network information in layers, but also quantitatively analyze the changes of blood flow in the macular region. For the first time, the blood flow analysis of optic disc and macular area in vivo has reached the level of tissue anatomy. It has wide application prospect and is more and more favored by ophthalmologists. In this paper, the clinical application of octa in diabetic retinopathy was reviewed.
[中图分类号]
[基金项目]
广西卫健委自筹经费科研课题(No.Z20190526)