光学相干断层扫描血管成像技术(OCTA) 在眼底黄斑及视盘血流中的应用

马 秀玲, 罗一 青*
青海大学附属医院

摘要


近年来,眼底黄斑及视盘疾病已成为视力下降及致盲的重要因素,眼底疾病的检查由传统的直间接检眼镜
逐渐发展到眼底照相及FFA(荧光素眼底血管造影),它们可以将活体眼底图像彻底呈现在人类面前,对眼底疾病的
诊治起到了至关重要的作用。然而,随着科学技术的不断发展与壮大,光学相干断层扫描血管成像技术(OCTA)
的出现,在研究眼底黄斑及视盘血流密度方面有着重要意义。

关键词


OCTA;黄斑;视盘;血流密度

全文:

PDF


参考


[1]许迅,俞素勤.关注相干光层析眼底血管成像术

对眼科临床实践的影响[J].中华眼科杂志,2018,54(4):

241-3.

[2]俞素勤,李欣馨,许迅.OCT血流成像技术的现

在与未来[J].中华眼视光学与视觉科学杂志,2017,19

(10):577-85.

[3]ZHANG A, ZHANG Q, CHEN C-L, et al.

Methods and algorithms for optical coherence tomographybased angiography: a review and comparison [J]. Journal of

biomedical optics, 2015, 20(10): 100901-.

[4]SPAIDE R F, KLANCNIK J M, JR, COONEY M J.

Retinal Vascular Layers Imaged by Fluorescein Angiography

and Optical Coherence Tomography Angiography [J]. JAMA

ophthalmology, 2015, 133(1): 45-50.

[5]KASHANI A H, CHEN C L, GAHM J K, et al.

Optical coherence tomography angiography: A comprehensive

review of current methods and clinical applications [J].

Progress in retinal and eye research, 2017, 60(66-100.

[6]LIPSON B K, YANNUZZI L A. Complications of

intravenous fluorescein injections [J]. Int Ophthalmol Clin,

1989, 29(3): 200-5.

[7]张爽,刘琳琳.光学相干断层扫描血管成像在

眼科临床的应用[J].赣南医学院学报,2021,41(03):

318-22.

[8]华英彬,吴培培,石德鹏,et al.不同类型脉络膜

新生血管光学相干断层扫描血管成像(OCTA)的图像

特征[J].眼科新进展,2019,39(11):1048-51.

[ 9 ] H U A N G D , J I A Y , R I S P O L I M , e t a l .

O P T I C A L C O H E R E N C E T O M O G R A P H Y

ANGIOGRAPHY OF TIME COURSE OF CHOROIDAL

NEOVASCULARIZATION IN RESPONSE TO ANTIANGIOGENIC TREATMENT [J]. Retina (Philadelphia, Pa),

2015, 35(11): 2260-4.

[10]孙晓丽,丛春霞,李立,et al.光相干断层扫描

血管成像与传统多模式眼底成像对渗出型老年性黄斑变

性脉络膜新生血管诊断与活动性判断的对比观察[J].中华

眼底病杂志,2017,33(1):10-4.

[11]CHAKRAVARTHY U, EVANS J, ROSENFELD

P J. Age related macular degeneration [J]. BMJ (Clinical

research ed), 2010, 340(c981.

[12]刘璟,刘战强,蒋方卫,et al.高海拔地区老年

性黄斑变性的危险因素及特点[J].中国现代药物应用,

2019,13(04):19-20.

[13]WONG T Y, MITCHELL P. The eye in hypertension

[J]. Lancet (London, England), 2007, 369(9559): 425-35.

[14]HE F J, MARCINIAK M, MARKANDU N D, et

al. Effect of modest salt reduction on skin capillary rarefaction

in white, black, and Asian individuals with mild hypertension

[J]. Hypertension (Dallas, Tex : 1979), 2010, 56(2): 253-9.

[15]魏串串,王爽.高血压与眼[J].国际眼科纵览,

2018,42(4):288.

[16]田甜,赵洋.OCTA在观察高血压视网膜病变患

者的黄斑区和视盘血流密度方面的应用[J].中国医疗器械

信息,2021,027(014):62-3.

[17]SHIN Y I, NAM K Y, LEE W H, et al. Peripapillary

microvascular changes in patients with systemic hypertension:

An optical coherence tomography angiography study [J].

Scientific reports, 2020, 10(1): 6541.

[18]唐淼.OCTA应用于轻度高血压性视网膜病变微

血管的筛查[J].南通大学学报(医学版),2023,43(02):

189-91.

[19]RESNIKOFF S, PASCOLINI D, ETYA'ALE D,

et al. Global data on visual impairment in the year 2002 [J].

Bulletin of the World Health Organization, 2004, 82(11):

844-51.

[20]王韩影,蒋炎,王晴仪,et al.光学相干断层扫

描血管成像技术观察糖尿病性视网膜病变及糖尿病性黄

斑水肿患者视网膜血流变化[J].上海交通大学学报(医学版),2021,41(02):166-72.

[21]GANGWANI R A, LIAN J X, MCGHEE S M, et

al. Diabetic retinopathy screening: global and local perspective

[J]. Hong Kong medical journal = Xianggang yi xue za zhi,

2016, 22(5): 486-95.

[22]钟丽欣,王晓光.糖尿病患者黄斑拱环形态及血

流的临床观察[J].中国继续医学教育,2018,10(05):

105-7.

[23]朱鸿静,张薇玮,张雅纹,et al.重度非增生型

糖尿病视网膜病变患眼黄斑区及视盘血流密度和中心凹

无血管区面积观察[J].中华眼底病杂志,2021,37(2):

98-103.

[24]CARNEVALI A, SACCONI R, CORBELLI E,

et al. Optical coherence tomography angiography analysis

of retinal vascular plexuses and choriocapillaris in patients

with type 1 diabetes without diabetic retinopathy [J]. Acta

diabetologica, 2017, 54(7): 695-702.

[25]SCARINCI F, PICCONI F, GIORNO P, et al.

Deep capillary plexus impairment in patients with type 1

diabetes mellitus with no signs of diabetic retinopathy revealed

using optical coherence tomography angiography [J]. Acta

Ophthalmol, 2018, 96(2): e264-e5.

[26]BORRELLI E, SACCONI R, BRAMBATI M,

et al. In vivo rotational three-dimensional OCTA analysis of

microaneurysms in the human diabetic retina [J]. Scientific

reports, 2019, 9(1): 16789.

[27]IAFE N A, PHASUKKIJWATANA N, CHEN X,

et al. Retina Retinal Capillary Density and Foveal Avascular

Zone Area Are Age-Dependent : Quantitative Analysis Using

Optical Coherence Tomography Angiography, F, 2016 [C].

[28]夏哲人,应靖璐,张佳,et al.三维光学相干断

层扫描在检测近视儿童黄斑及视网膜神经纤维层厚度中

的应用[J].中华医学杂志,2013,93(45):3573-6.

[29]AL-SHEIKH M, PHASUKKIJWATANA N,

DOLZ-MARCO R, et al. Quantitative OCT Angiography

of the Retinal Microvasculature and the Choriocapillaris

in Myopic Eyes [J]. Investigative ophthalmology & visual

science, 2017, 58(4): 2063-9.

[30]杨香香,何媛,张坚.OCTA技术在原发性青光

眼中的应用研究进展[J].国际眼科杂志,2021,21(01):

57-61.

[31]DE CARLO T E, ROMANO A, WAHEED N K,

et al. A review of optical coherence tomography angiography

(OCTA) [J]. International journal of retina and vitreous, 2015,

1(5).

[32]张晓培,曹国凡,蒋沁.光学相干断层扫描血管

成像(OCTA)对早期原发性开角型青光眼的诊断能力

[J].眼科新进展,2018,38(9):4.

[33]ZHANG S, WU C, LIU L, et al. Optical Coherence

Tomography Angiography of the Peripapillary Retina in

Primary Angle-Closure Glaucoma [J]. American journal of

ophthalmology, 2017, 182(194-200.

[34]RAO H L, KADAMBI S V, WEINREB R N, et al.

Diagnostic ability of peripapillary vessel density measurements

of optical coherence tomography angiography in primary

open-angle and angle-closure glaucoma [J]. The British

journal of ophthalmology, 2017, 101(8): 1066-70.

[35]朱研.OCT血管成像在原发性开角型青光眼早

期 诊 断 中 的 应 用[J].国 际 眼 科 杂 志,2016,16(12):

2320-2.

[36]KOHNO T, MIKI T, HAYASHI K. Choroidopathy

after blunt trauma to the eye: a fluorescein and indocyanine

green angiographic study [J]. American journal of

ophthalmology, 1998, 126(2): 248-60.

[37]张进军,赵秋,同西龙.眼球钝挫伤后视网膜

血流时间的观察[J].中国实用眼科杂志,2000,18(8):

505-6.

[38]陈立锋,郑斌.眼球钝挫伤患者黄斑区光相干断

层扫描血管成像的特征[J].浙江创伤外科,2022,27(05):

830-4.

[39]MONTORIO D, D'ANDREA L, CENNAMO G.

Retinal Vascular Features in Ocular Blunt Trauma by Optical

Coherence Tomography Angiography [J]. Journal of clinical

medicine, 2020, 9(10):

[40]PAPAGEORGIOU E, VOUTSAS N, KOTOULA

M, et al. Optical coherence tomography angiography

reveals vascular alterations in pediatric commotio retinae [J].

European journal of ophthalmology, 2021, 31(5): Np44-np7.


Refbacks

  • 当前没有refback。