视网膜静脉阻塞继发黄斑水肿中OCT生物标志物的研究进展
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Research progress of optical coherence tomography biomarkers in macular edema secondary to retinal vein occlusion
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    摘要:

    视网膜静脉阻塞(RVO)是第二常见的致盲性视网膜血管性疾病,其继发的黄斑水肿(ME)是导致中心视力损害的重要原因。光学相干断层扫描(OCT)可生成高分辨率的组织横截面图像,清楚地显示视网膜和脉络膜的各层结构,OCT生物标志物对RVO-ME的早期精准诊断、疾病发展的预示及视力预后的判断具有重要意义。文章对OCT下RVO-ME的视网膜厚度、视网膜内层结构紊乱、视网膜内层超反射率、外界膜及椭圆体带的完整性、中央凹第三高反射带、高反射点、急性黄斑旁中心中层视网膜病变、中界膜征、浆液性视网膜脱离高度、黄斑体积以及脉络膜厚度等生物标志物进行综述,以期为RVO-ME病情评估、治疗方案的制定以及视功能的预后判断提供客观依据。

    Abstract:

    Retinal vein occlusion(RVO)is the second most common cause of vision loss due to retinal vascular disease. Macular edema(ME)is a common complication of RVO and a major cause of central vision impairment. Optical coherence tomography(OCT)is a high-resolution imaging technique that can provide detailed cross-sectional images of the retina and choroid. OCT biomarkers play an important role in the early and accurate diagnosis of RVO-ME, prediction of disease progression, and assessment of visual prognosis. This article provides an overview of various OCT biomarkers for RVO-ME, including retinal thickness, disorganization of retinal inner layers, hyper-reflectivity of retinal inner layer, the integrity of external limiting membrane and ellipsoid zone, the third highest reflectance band of the fovea, hyperreflective dots, paracentral acute middle maculopathy, prominent middle limiting membrane sign, serous retinal detachment height, macular volume and choroidal thickness. These biomarkers serve as objective indicators for evaluating the severity of RVO-ME, guiding treatment decisions, and predicting visual outcomes.

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李洋,解颖,董志军.视网膜静脉阻塞继发黄斑水肿中OCT生物标志物的研究进展.国际眼科杂志, 2024,24(6):912-916.

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  • 收稿日期:2023-09-24
  • 最后修改日期:2024-04-16
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  • 在线发布日期: 2024-05-22
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