糖尿病性黄斑水肿的FFA与OCT的应用对比
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Comparative study between the features of FFA and OCT in diabetic macular edema
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    摘要:

    目的:探讨糖尿病性黄斑水肿FFA与OCT的应用及其相互关系。

    方法:对70例135眼糖尿病性黄斑水肿患者行中心视力、最佳矫正视力、眼压、直接检眼镜、裂隙灯显微镜联合+90D前置镜散瞳眼底检查、散瞳眼底彩色照相、相干光断层扫描(OCT)、荧光素眼底血管造影(FFA)检查,并将相干光断层扫描和荧光素眼底血管造影结果比较分析。

    结果:轻度水肿时,FFA表现异常56眼,OCT表现异常68眼(P=0.0009); FFA表现正常12眼中,其OCT检查有10眼为海绵样改变; FFA表现为囊样型的,其OCT表现为囊样型占46.7%。

    结论:FFA,OCT联合应用于诊断糖尿病性黄斑水肿,而OCT作为临床随访DME是必不可少的检查手段,早期应用有优势。

    Abstract:

    AIM: To assess the correlation between the features of optical coherencetomography(OCT)and fundus fluorescein angiography(FFA)in diabetic macular edema(DEM).

    METHODS: Totally 70 patients(135 eyes)with diabetic retinopathy(DR)were evaluated by central vision, best corrected visual acuity(BCVA), intraocular pressure, indirect ophthalmoscopy, slit lamp microscope combined +90D front mirror mydriatic fundus examination, mydriatic fundus color photography, OCT, FFA, the correlation between FFA and OCT were analyzed.

    RESULTS: In mild macular oedema cases, abnormalities in FFA was 56 eyes, abnormalities in OCT was 68 eyes(P=0.0009); FFA showed 12 normal eyes, 10 eyes in OCT were characterized by diffused macular oedema; FFA was performed with cystoid macular oedema, OCT was 46.7% with cystoid type.

    CONCLUSION: DME is diagnosed by Combination FFA with OCT, OCT is an indispensable tool when following up DME, and it has advantage in early application.

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王琴慧,刘久萍,崔冬梅,等.糖尿病性黄斑水肿的FFA与OCT的应用对比.国际眼科杂志, 2014,14(12):2210-2213.

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  • 收稿日期:2014-09-09
  • 最后修改日期:2014-10-30
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  • 在线发布日期: 2014-12-02
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