[关键词]
[摘要]
特发性黄斑前膜(IERM)是指一类没有任何已知其他眼病的黄斑前膜，多发于50岁以上的中老年人。随着IERM的进展，会引起黄斑区视网膜结构和功能的改变，引起视力下降、视物变形等症状。目前关于IERM的发病机制尚不明确，手术是主要的治疗方式，但对于手术时机尚未标准化，术后的视力恢复结局也存在差异。光学相干断层扫描(OCT)和OCT血管成像(OCTA)作为一种无创、快速的检测手段，可观察黄斑区视网膜微结构和血流变化，已经在临床中广泛应用。利用OCT和OCTA各参数去预测术后视力已经成为IERM的研究热点。本文就OCT与OCTA各参数和IERM术后视力预测的相关研究现状进行综述，以期为临床工作者确定手术时机，权衡手术收益和风险时提供依据。
[Key word]
[Abstract]
Idiopathic epiretinal membrane(IERM)is a kind of epiretinal membrane without any other known ocular conditions, which occurs mostly in the middle-aged and elderly people over the age of 50. As IERM worsens, the structure and function of the retina in the macular region are altered, leading to symptoms like reduced vision and metamorphopsia. The pathogenesis of IERM remains unclear, and surgery is the primary treatment option. However, there is no consensus on the best time to have surgery, and there are differences in how well patients recover their vision following surgery. Optical coherence tomography(OCT)and OCT angiography(OCTA), as non-invasive and rapid diagnostic tools to observe retinal microstructure and blood flow changes in the macula, have been extensively utilized in clinical settings. The use of OCT and OCTA parameters to predict postoperative visual acuity has emerged as a hot topic in IERM research. This article provides a comprehensive review of current research on the correlation between various OCT and OCTA parameters and the prediction of postoperative visual acuity in IERM, aiming to assist clinicians in determining the optimal timing for surgery and balancing the benefits and risks involved.
[中图分类号]
[基金项目]
爱尔眼科医院集团科研基金项目(No.AF2201D06)
