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目的:探讨中心性浆液性脉络膜视网膜病变光学相干断层成像的图像特点。方法:对46例(48眼)中心性浆液性脉络膜视网膜病变患者行光学相干断层成像(OCT)检查,对后极部神经上皮层和色素上皮层的脱离形态进行观察。结果:光学相干断层成像(OCT)检查可清晰显示后极部神经上皮层和色素上皮层的脱离形态,表现为视网膜神经上皮层浆液性脱离(36例38眼占总眼数的76.17%)、神经上皮层并色素上皮层脱离(8例8眼占总眼数的16.67%)、单纯色素上皮层脱离(2例2眼占总眼数的4.17%)3种表现。结论:中心性浆液性脉络膜视网膜病变常见的OCT表现为视网膜神经上皮层脱离和视网膜神经上皮层脱离并视网膜色素上皮层脱离。OCT检查对中心性浆液性脉络膜视网膜病变的诊断、鉴别诊断和随访有重要意义。
Objective: To investigate the characteristics of optical coherence tomography in central serous chorioretinopathy. Methods: Optical coherence tomography (OCT) was performed in 46 patients (48 eyes) with central serous chorioretinopathy. The detachment patterns of the posterior pole epithelium and the pigment epithelium were observed. Results: Optical coherence tomography (OCT) examination clearly showed the detachment of the posterior pole neurons and the pigment epithelium, showing serous detachment of the retinal neuroepithelium (36 of 38 eyes accounted for 76.17% of the total number of eyes) There were 3 kinds of neuroepithelial layer epithelial detachment (8 cases of 8 eyes accounted for 16.67% of the total number of eyes), simple pigment epithelial detachment (2 cases of 2 eyes accounted for 4.17% of the total number of eyes). CONCLUSIONS: Common OCT manifestations of central serous chorioretinopathy include detachment of the retinal neuroepithelium and detachment of the retinal neuroepithelium and detachment of the retinal pigment epithelium. OCT examination of central serous chorioretinopathy diagnosis, differential diagnosis and follow-up of great significance.