关键词检索
按:
检索词:
  高级检索
引用:陈莲,张鹏,李璐希,何珂,李晓清,姜钊.超广角眼底荧光血管造影对糖尿病视网膜病变的诊断价值.国际眼科杂志 2020;20(8):1464-1467,doi:10.3980/j.issn.1672-5123.2020.8.37
超广角眼底荧光血管造影对糖尿病视网膜病变的诊断价值
Diagnostic value of ultra-wide-angle fundus fluorescein angiography for diabetic retinopathy
投稿时间:2019-10-30  修订日期:2020-07-03
Email this Article  Add to Favorite  Print
DOI:10.3980/j.issn.1672-5123.2020.8.37
关键词:  荧光血管造影  广角  糖尿病视网膜病变
Key Words:  fluorescein angiography  ultra-wide-field  diabetic retinopathy
基金项目:
Fund Project:
                 
作者单位
陈莲 中国陕西省西安市第三医院眼科 西北大学附属医院眼科
张鹏 中国陕西省西安市第三医院眼科 西北大学附属医院眼科
李璐希 中国陕西省西安市第三医院眼科 西北大学附属医院眼科
何珂 中国陕西省西安市第三医院眼科 西北大学附属医院眼科
李晓清 中国陕西省西安市第三医院眼科 西北大学附属医院眼科
姜钊 中国陕西省西安市第三医院眼科 西北大学附属医院眼科
                 
AuthorInstitution
Lian Chen Department of Ophthalmology, Xi'an No.3 Hospital, the Affiliated Hospital of Northwest University, Xi'an , Shaanxi Province, China
Peng Zhang Department of Ophthalmology, Xi'an No.3 Hospital, the Affiliated Hospital of Northwest University, Xi'an , Shaanxi Province, China
Lu-Xi Li Department of Ophthalmology, Xi'an No.3 Hospital, the Affiliated Hospital of Northwest University, Xi'an , Shaanxi Province, China
Ke He Department of Ophthalmology, Xi'an No.3 Hospital, the Affiliated Hospital of Northwest University, Xi'an , Shaanxi Province, China
Xiao-Qing Li Department of Ophthalmology, Xi'an No.3 Hospital, the Affiliated Hospital of Northwest University, Xi'an , Shaanxi Province, China
Zhao Jiang Department of Ophthalmology, Xi'an No.3 Hospital, the Affiliated Hospital of Northwest University, Xi'an , Shaanxi Province, China
摘要点击次数: 130
Hits:
全文下载次数: 56
Download times:
摘要:
      

目的:分析超广角眼底荧光血管造影(UWFA)对糖尿病视网膜病变(DR)的诊断价值。

     方法:对2016-10/2018-06在西安市第三医院就诊的DR患者45例90眼进行回顾性分析。其中男25例,女20例,年龄45~76(平均59.52±15.78)岁。所有患者均经直接或间接检眼镜以及UWFA检查。

     结果:依据检眼镜检查,在12眼内未见DR,42眼诊断为非增殖性糖尿病视网膜病变(NPDR),36眼诊断为增殖性糖尿病视网膜病变(PDR)。在90眼中,22眼接受视网膜激光光凝治疗,其中8眼接受过广泛视网膜激光光凝(PRP)。依据UWFA检查,12只无DR的眼中有8眼(67%)存在视网膜微动脉瘤,42只诊断为NPDR眼中有4眼(10%)被发现视网膜新生血管(RNV)及血管渗漏,36只诊断为PDR的眼中仍有12眼(33%)存在周边RNV。在诊断为NPDR和PDR的眼中,分别有28眼(67%)和26眼(72%)存在周边视网膜无灌注区。另外,在8只已接受广泛视网膜激光光凝的眼中有4眼(50%)仍有周边RNV及无灌注区。

     结论:UWFA能够更全面地对糖尿病患者的周边视网膜进行检查,有助于发现常规影像学检查难于察觉的周边部糖尿病视网膜病变,尤其利于对视网膜激光光凝后的DR患者病情的随访观察。

Abstract:
      AIM: To investigate the advantages of ultra-wide-field fluorescein angiography(UWFA)over the standard fundus examination in the evaluation of diabetic retinopathy(DR).

     METHODS: Forty-five cases(90 eyes)with DR in Xi'an No.3 Hospital from October 2016 to June 2018 were analyzed retrospectively, including 25 males and 20 females, aged from 45-76(59.52±15.78)years. There were 25 males and 20 females. Average age were 59.5 years. All patients were examined with ophthalmoscope and UWFA.

     RESULTS: Depending on ophthalmoscope, 12 eyes with no DR, 42 eyes with nonproliferative diabetic retinopathy(NPDR), and 36 eyes with proliferative diabetic retinopathy(PDR), diagnosed by the standard method. 22 eyes of 90 eyes received retinal photocoagulation, including 8 eyes received panretinal photocoagulation(PRP). Depending on UWFA images, peripheral microaneurysms were demonstrated in 8(67%)of 12 eyes with no DR. Peripheral retinal neovascularizations were detected in 4(10%)of 42 eyes with NPDR and in 12(33%)of 36 eyes with PDR. Peripheral vascular nonperfusions were found in 28(67%)of 42 eyes with NPDR and in 26(72%)of 36 eyes with PDR. Peripheral vascular nonperfusions and peripheral retinal neovascularizations also were found in 4(50%)of 8 eyes, which treated by PRP.

     CONCLUSION: UWFA demonstrates peripheral lesions beyond standard fields, which can allow early detection of DR, and a close evaluation of eyes with retinal photocoagulation.

Citation Html:
附件
查看全文PDF FullText  查看/发表评论  下载PDF阅读器