Optical coherence tomography

光学相干层析成像
  • 文章类型: Journal Article
    光学相干层析成像对于捕获动态过程具有很大的实用性,但此类应用尤其是数据密集型。生物组织等样本在不同的时间尺度上表现出时间特征,这使得数据缩减具有挑战性。
    我们提出了一种使用非均匀时间采样以压缩方式捕获样本的短期和长期相关性的方法,以减少扫描时间和内存开销。
    所提出的方法分离了白噪声的相对贡献,波动特征,和固定特征。该方法已在三维培养的乳腺上皮细胞球体上证明,可捕获细胞内运动而不损失信号完整性。
    结果表明,保留了运动性的空间模式,并且用blebbistatin处理的球体的假设检验,一种运动蛋白抑制剂,在高达8倍的压缩下保持不变。
    压缩测量短期和长期相关性的能力将在(3+1)D成像和高通量筛选中实现新的应用。
    UNASSIGNED: Optical coherence tomography has great utility for capturing dynamic processes, but such applications are particularly data-intensive. Samples such as biological tissues exhibit temporal features at varying time scales, which makes data reduction challenging.
    UNASSIGNED: We propose a method for capturing short- and long-term correlations of a sample in a compressed way using non-uniform temporal sampling to reduce scan time and memory overhead.
    UNASSIGNED: The proposed method separates the relative contributions of white noise, fluctuating features, and stationary features. The method is demonstrated on mammary epithelial cell spheroids in three-dimensional culture for capturing intracellular motility without loss of signal integrity.
    UNASSIGNED: Results show that the spatial patterns of motility are preserved and that hypothesis tests of spheroids treated with blebbistatin, a motor protein inhibitor, are unchanged with up to eightfold compression.
    UNASSIGNED: The ability to measure short- and long-term correlations compressively will enable new applications in (3+1)D imaging and high-throughput screening.
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  • 文章类型: Journal Article
    系统性癌症的眼内转移最常见于脉络膜,其次是虹膜和睫状体,而视网膜转移极为罕见。在这里,我们介绍了一个视网膜转移病例,并分析了多模态成像。
    一名66岁女性,5年前有乳腺癌病史,她的右眼视力模糊,被转诊到我们部门。初次检查时,她的最佳矫正视力(BCVA)为1.0眼右旋(OD)。眼底检查显示微黄色隆起的病变,表面不规则,测量2个乳头状直径,以及视盘颞侧浆液性视网膜脱离(SRD)。光学相干断层扫描显示SRD,等强度结节延伸到所有视网膜层。荧光素血管造影显示肿瘤早期和晚期的荧光高度和强烈的荧光渗漏,分别。吲哚菁绿血管造影描绘了肿块内的喂食器和引流血管。激光散斑流图(LSFG)显示肿瘤内部的冷信号。基于这些临床发现,肿块被诊断为视网膜转移。初次访问八天后,患者接受了对右眼的外部束辐射。初步诊断后一个月,她的BCVA是0.7OD,肿瘤是局部的,SRD有所下降。LSFG表明血管重塑,肿瘤中信号略微温暖。
    视网膜转移的LSFG显示冷信号,提示肿瘤血流速度低,肿瘤可能生长缓慢。LSFG的发现可能在临床诊断中发挥支持作用,并有助于更好地了解并乳头状肿瘤的发病机理。
    UNASSIGNED: Intraocular metastases of systemic cancer are most frequently located in the choroid, followed by the iris and ciliary body, while retinal metastases are extremely rare. Here we present a case of retinal metastasis and analyze multimodal imaging.
    UNASSIGNED: A 66-year-old woman with a medical history of breast cancer 5 years earlier was referred to our Department struggling with blurry vision in her right eye. At initial examination, her best-corrected visual acuity (BCVA) was 1.0 oculus dexter (OD). Fundus examination revealed a yellowish elevated lesion with irregular surface, measuring 2 papillary diameters, along with serous retinal detachment (SRD) on the temporal side of the optic disc. Optical coherence tomography showed SRD with an isointense nodule extending across all retinal layers. Fluorescein angiography showed hyperfluorescence and vigorous fluorescence leakage inside the tumor in the early and late phases, respectively. Indocyanine green angiography depicted feeder and drainage vessels within the mass. Laser speckle flowgraphy (LSFG) showed a cold signal inside the tumor. Based on these clinical findings, the mass was diagnosed as a retinal metastasis. Eight days after the initial visit, the patient underwent external beam radiation to the right eye. One month after the initial diagnosis, her BCVA was 0.7 OD, the tumor was localized, and SRD had decreased. LSFG indicated vascular remodeling with marginally warmer signals in the tumor.
    UNASSIGNED: LSFG of the retinal metastasis showed a cold signal, suggesting low tumor blood flow velocity and that the tumor may have grown slowly. LSFG findings are likely to play a supportive role in clinical diagnosis and contribute to better understanding of pathogenesis in juxtapapillary tumors.
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  • 文章类型: Journal Article
    急性冠脉综合征(ACS)患者,经常由斑块破裂(PR)引起,通常在残留病变和罪魁祸首病变中都有易损斑块。然而,这种情况是否也发生在斑块糜烂(PE)患者中是未知的。我们回顾性分析了88例接受了最佳相干断层扫描(OCT)和血管内超声(IVUS)的ACS患者的数据。根据使用OCT识别的罪魁祸首病变的斑块形态,患者分为PE组(n=23)和PR组(n=35).在经皮冠状动脉介入治疗后,比较了两组之间使用背向散射IVUS评估的残留病变的组织特征。PE组的脂质体积百分比和纤维体积百分比明显低于PR组(35.0±17.8%vs49.2±13.4%,p<0.001;63.2±17.1%vs50.3±13.1%,分别为p=0.002)。受试者工作特征曲线分析显示,残留病变中的脂质体积百分比是估计罪犯病变斑块形态的重要判别因素(最佳临界值,<43.5%;敏感性和特异性值分别为73.9%和68.6%,分别)。总之,与PR患者相比,PE患者的脂质体积百分比明显较低,残留病变中的纤维体积百分比明显较高,提示PE患者的冠状动脉斑块性质与PR患者不同。
    Patients with acute coronary syndrome (ACS), frequently caused by plaque rupture (PR), often have vulnerable plaques in residual lesions as well as in culprit lesions. However, whether this occurs in patients with plaque erosion (PE) as well is unknown. We retrospectively analyzed the data of 88 patients with ACS who underwent both optimal coherence tomography (OCT) and intravascular ultrasound (IVUS). Based on plaque morphology of the culprit lesions identified using OCT, patients were classified into PE (n=23) and PR (n=35) groups. The tissue characteristics of residual lesions evaluated using integrated backscatter IVUS were compared between both groups after percutaneous coronary intervention. The PE group had a significantly lower percent lipid volume and a higher percent fibrous volume than the PR group (35.0±17.8% vs 49.2±13.4%, p<0.001; 63.2±17.1% vs 50.3±13.1%, p=0.002, respectively). Receiver operating characteristic curve analysis revealed that percent lipid volume in the residual lesions was a significant discriminant factor in estimating the plaque morphology of the culprit lesion (optimal cut-off value, <43.5%; sensitivity and specificity values were 73.9% and 68.6%, respectively). In conclusion, patients with PE had a significantly lower percent lipid volume and a significantly higher percent fibrous volume in the residual lesions than those with PR, suggesting that the nature of coronary plaques in patients with PE is different from that of those with PR.
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  • 文章类型: Journal Article
    背景:炎症性皮肤病,比如牛皮癣,特应性湿疹,和接触性皮炎由于其不同的临床表现和快速和精确的诊断评估的需要带来诊断挑战.
    目的:虽然最近的研究描述了非侵入性成像设备,如光学相干断层扫描和线场共聚焦OCT(LC-OCT),作为实时可视化病理特征的可能技术,尚未进行标准化分析和验证.
    方法:诊断为特应性湿疹的患者的一百四十个病变(57),牛皮癣(50),和接触性皮炎(33)使用OCT和LC-OCT成像。采用统计分析来评估其特征形态特征的重要性。此外,开发了一种基于Gini系数计算的决策树算法,以识别关键属性和准确分类疾病组的标准。
    结果:描述性统计揭示了湿疹的独特形态特征,牛皮癣,和接触性皮炎病变。多变量逻辑回归证明了这些特征的重要性,提供了三种炎症状态之间的强大区别。决策树算法通过识别疾病判别的最佳属性,进一步提高了分类精度,强调特定的形态学标准对临床快速诊断至关重要。
    结论:描述性统计的组合方法,多元逻辑回归,决策树算法提供了与每个炎症性皮肤病相关的独特方面的透彻理解。这项研究为病变分类提供了一个实用的框架,增强临床医生对成像结果的可解释性。
    BACKGROUND: Inflammatory skin diseases, such as psoriasis, atopic eczema, and contact dermatitis pose diagnostic challenges due to their diverse clinical presentations and the need for rapid and precise diagnostic assessment.
    OBJECTIVE: While recent studies described non-invasive imaging devices such as Optical coherence tomography and Line-field confocal OCT (LC-OCT) as possible techniques to enable real-time visualization of pathological features, a standardized analysis and validation has not yet been performed.
    METHODS: One hundred forty lesions from patients diagnosed with atopic eczema (57), psoriasis (50), and contact dermatitis (33) were imaged using OCT and LC-OCT. Statistical analysis was employed to assess the significance of their characteristic morphologic features. Additionally, a decision tree algorithm based on Gini\'s coefficient calculations was developed to identify key attributes and criteria for accurately classifying the disease groups.
    RESULTS: Descriptive statistics revealed distinct morphologic features in eczema, psoriasis, and contact dermatitis lesions. Multivariate logistic regression demonstrated the significance of these features, providing a robust differentiation between the three inflammatory conditions. The decision tree algorithm further enhanced classification accuracy by identifying optimal attributes for disease discrimination, highlighting specific morphologic criteria as crucial for rapid diagnosis in the clinical setting.
    CONCLUSIONS: The combined approach of descriptive statistics, multivariate logistic regression, and a decision tree algorithm provides a thorough understanding of the unique aspects associated with each inflammatory skin disease. This research offers a practical framework for lesion classification, enhancing the interpretability of imaging results for clinicians.
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  • 文章类型: Journal Article
    背景:消费品,例如电动剃须刀,以压力和剪切的形式在皮肤上施加动态载荷的组合。这种机械刺激可能导致不适和皮肤组织反应,其特征为“皮肤敏感性”。为了将剃须后的不适降至最低,需要使用光学相干断层扫描(OCT)等先进工具建立特定的刺激-反应关系.
    目的:探讨电剃刮刺激后皮肤形态和微血管功能的时空变化。
    方法:招募10名健康男性志愿者。这项研究包括对前臂进行60秒的电剃刺激,脸颊和脖子。在基线时记录皮肤参数,刺激后20分钟和刺激后24小时。使用OCT估计结构和动态皮肤参数,同时记录了经皮水分流失(TEWL),以提供皮肤屏障功能的参考值。
    结果:在基线时,八个参数中的六个显示了前臂和面部部位之间的统计学差异,而颊部和颈部之间仅表面粗糙度(Rq)和反射率有统计学差异(p<0.05)。剃须后20分钟,TEWL值显着增加,伴随着血液灌注的增加,变化幅度取决于解剖部位。刺激后24小时观察到恢复特征,大多数参数恢复到基础值,强调刺激的短暂影响。
    结论:OCT参数显示皮肤组织对电剃的反应在空间和时间上存在差异。这种方法可以告知剃须刀设计并防止皮肤敏感。
    BACKGROUND: Consumer products such as electrical shavers exert a combination of dynamic loading in the form of pressure and shear on the skin. This mechanical stimulus can lead to discomfort and skin tissue responses characterised as \"Skin Sensitivity\". To minimise discomfort following shaving, there is a need to establish specific stimulus-response relationships using advanced tools such as optical coherence tomography (OCT).
    OBJECTIVE: To explore the spatial and temporal changes in skin morphology and microvascular function following an electrical shaving stimulus.
    METHODS: Ten healthy male volunteers were recruited. The study included a 60-s electrical shaving stimulus on the forearm, cheek and neck. Skin parameters were recorded at baseline, 20 min post stimulus and 24 h post stimulus. Structural and dynamic skin parameters were estimated using OCT, while transepidermal water loss (TEWL) was recorded to provide reference values for skin barrier function.
    RESULTS: At baseline, six of the eight parameters revealed statistically significant differences between the forearm and the facial sites, while only surface roughness (Rq) and reflectivity were statistically different (p < 0.05) between the cheek and neck. At 20 min post shaving, there was a significant increase in the TEWL values accompanied by increased blood perfusion, with varying magnitude of change dependent on the anatomical site. Recovery characteristics were observed 24 h post stimulus with most parameters returning to basal values, highlighting the transient influence of the stimulus.
    CONCLUSIONS: OCT parameters revealed spatial and temporal differences in the skin tissue response to electrical shaving. This approach could inform shaver design and prevent skin sensitivity.
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  • 文章类型: Journal Article
    使用深前板层角膜移植术(DALK)方法进行的部分厚度角膜移植比全厚度角膜移植具有更好的患者预后。然而,尽管DALK手术的临床结果更好,该技术的采用受到限制,因为将针头准确插入深层基质仍然在技术上具有挑战性。在这项工作中,我们提出了一种新颖的免提可眼戴机器人,用于在角膜中自动放置针,AutoDALK,有可能简化DALK过程中的这一关键步骤。该系统集成了双轻质线性压电电机,OCTA扫描距离传感器,和真空环钻的设计,使安全,一致,并将针头可控制地插入角膜中,以从深的后角膜和Descemet膜对前角膜进行肺解剖。AutoDALK是根据专家角膜外科医生的反馈设计的,并通过有限元分析仿真评估了性能,台式测试,和离体实验,以证明该系统用于临床应用的可行性。平均开环位置偏差为9.39µm,系统的可重复性和精度分别为39.48µm和43.18µm,分别。系统的最大组合推力为1.72N,超过角膜的临床穿透力。在使用徒手方法与专家外科医生的头对头体外比较中,AutoDALK实现了更一致的针头深度,这导致Descemet膜的穿孔减少,基质组织的气体解剖明显更深。这项研究的结果表明,机器人针头插入有可能简化DALK程序中最具挑战性的任务,为患者提供更一致的手术结果,如果证明比穿透性角膜移植术更安全,更有效,则将部分厚度角膜移植标准化为护理的黄金标准。
    Partial-thickness corneal transplants using a deep anterior lamellar keratoplasty (DALK) approach has demonstrated better patient outcomes than a full-thickness cornea transplant. However, despite better clinical outcomes from the DALK procedure, adoption of the technique has been limited because the accurate insertion of the needle into the deep stroma remains technically challenging. In this work, we present a novel hands-free eye mountable robot for automatic needle placement in the cornea, AutoDALK, that has the potential to simplify this critical step in the DALK procedure. The system integrates dual light-weight linear piezo motors, an OCT A-scan distance sensor, and a vacuum trephine-inspired design to enable the safe, consistent, and controllable insertion of a needle into the cornea for the pneumodissection of the anterior cornea from the deep posterior cornea and Descemet\'s membrane. AutoDALK was designed with feedback from expert corneal surgeons and performance was evaluated by finite element analysis simulation, benchtop testing, and ex vivo experiments to demonstrate the feasibility of the system for clinical applications. The mean open-loop positional deviation was 9.39 µm, while the system repeatability and accuracy were 39.48 µm and 43.18 µm, respectively. The maximum combined thrust of the system was found to be 1.72 N, which exceeds the clinical penetration force of the cornea. In a head-to-head ex vivo comparison against an expert surgeon using a freehand approach, AutoDALK achieved more consistent needle depth, which resulted in fewer perforations of Descemet\'s membrane and significantly deeper pneumodissection of the stromal tissue. The results of this study indicate that robotic needle insertion has the potential to simplify the most challenging task of the DALK procedure, enable more consistent surgical outcomes for patients, and standardize partial-thickness corneal transplants as the gold standard of care if demonstrated to be more safe and more effective than penetrating keratoplasty.
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  • 文章类型: Journal Article
    组织成像在口腔癌诊断中至关重要。成像技术,如X射线成像,磁共振成像,光学相干断层扫描(OCT)和计算机断层扫描(CT)使组织的可视化和分析,帮助检测和诊断癌症。已经进行了大量的研究来设计用于组织成像的OCT探头,但是大多数探测器要么很重,笨重,需要外部安装或重量轻,但直。这项研究解决了这些挑战,导致弯曲的轻质,用于口腔软组织检查的低压紧凑型手持式成像探头。据我们所知,这是第一种弯曲的手持式OCT探头,其形状针对口腔应用进行了优化。该探头具有直径为125μm的高度紧凑的全光纤,并采用创新的中央偏转磁致动控制光束扫描。为了确保扫描口腔软组织时的垂直稳定性,光纤通过多个窄缝固定在探头的远端。该设备被包裹在3D打印的角形圆柱管中(外径15毫米,内径12毫米,长度160毫米,称重<20g)。115°的角度使探头易于握持,适合在空间有限的位置进行扫描。为了验证这个探测器的可行性,我们对多层成像模型和人体组织进行了评估,可视化的微观结构特征与高对比度。
    Tissue imaging is crucial in oral cancer diagnostics. Imaging techniques such as X-ray imaging, magnetic resonance imaging, optical coherence tomography (OCT) and computed tomography (CT) enable the visualization and analysis of tissues, aiding in the detection and diagnosis of cancers. A significant amount of research has been conducted on designing OCT probes for tissue imaging, but most probes are either heavy, bulky and require external mounting or are lightweight but straight. This study addresses these challenges, resulting in a curved lightweight, low-voltage and compact handheld imaging probe for oral soft tissue examination. To the best of our knowledge, this is the first curved handheld OCT probe with its shape optimized for oral applications. This probe features highly compact all-fiber optics with a diameter of 125 μm and utilizes innovative central deflection magnetic actuation for controlled beam scanning. To ensure vertical stability while scanning oral soft tissues, the fiber was secured through multiple narrow slits at the probe\'s distal end. This apparatus was encased in a 3D-printed angular cylinder tube (15 mm outer diameter, 12 mm inner diameter and 160 mm in length, weighing < 20 g). An angle of 115° makes the probe easy to hold and suitable for scanning in space-limited locations. To validate the feasibility of this probe, we conducted assessments on a multi-layered imaging phantom and human tissues, visualizing microstructural features with high contrast.
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  • 文章类型: Journal Article
    目的:探讨息肉状脉络膜血管病变(PCV)视网膜中不同程度的液体积聚与视觉结局之间的关系。设计:回顾性观察性研究。机构设置。研究人群:共纳入91例PCV患者的91只眼,其中65人接受玻璃体内阿柏西普单药治疗,26人接受玻璃体内雷珠单抗和光动力疗法(PDT)联合治疗。观察程序:记录基线和治疗后3、6、12个月的最佳矫正视力(BCVA)和光学相干断层扫描(OCT)检查结果。主要结果指标:视觉结果与液体生物标志物之间的相关性,包括视网膜内液体(IRF),视网膜下液(SRF),浆液性色素上皮脱离(PED),并对中央凹出血进行分析。结果:接受阿柏西普治疗的患者与接受雷珠单抗和PDT联合治疗的患者之间的治疗结果没有差异。基线时的IRF和出血预测3、6和12个月时视力较差。IRF的存在与6个月和12个月时视力较差相关(均p<0.05)。SRF或PED的存在在任何时间点都与更好的视力无关。在薄和厚的中央凹下脉络膜厚度组之间,液体标志物与视觉结果之间的相关性没有差异。结论:对于PCV,IRF和基线出血作为治疗后视力预后不良的替代因素,IRF是治疗过程中视力不良的生物标志物。在任何时间点,没有液体标记物预测良好的视力预后或对视力产生积极影响。
    Purpose: To investigate the associations between fluid accumulation at different levels in the retina and visual outcome in polypoidal choroidal vasculopathy (PCV). Design: A retrospective observational study. Institutional setting. Study Population: A total of 91 eyes from 91 patients of PCV were included, with 65 receiving intravitreal aflibercept monotherapy and 26 receiving combined intravitreal ranibizumab and photodynamic therapy (PDT). Observation Procedures: Best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) examination results were recorded at baseline and 3, 6, and 12 months after treatment. Main Outcome Measures: The correlations between visual outcomes and fluid biomarkers including intraretinal fluid (IRF), subretinal fluid (SRF), serous pigment epithelium detachment (PED), and hemorrhage at fovea were analyzed. Results: No differences in treatment outcomes were noted between patients receiving aflibercept and those receiving combined ranibizumab and PDT. IRF and hemorrhage at baseline predicted poorer vision at 3, 6, and 12 months. The presence of IRF was associated with poorer vision at 6 months and 12 months (p < 0.05 for all). The presence of SRF or PED was not associated with better vision at any time point. No differences in the correlations between fluid markers and visual outcomes were noted between thin and thick subfoveal choroidal thickness groups. Conclusions: For PCV, IRF and hemorrhage at baseline served as surrogates for poor visual prognosis after treatment, and IRF was a biomarker for poor vision during the treatment course. No fluid markers predicted good visual prognosis or had a positive impact on vision at any time point.
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  • 文章类型: Journal Article
    背景和目的:年龄相关性黄斑变性(AMD)是一种复杂的多因素疾病,一旦进展到新生血管渗出性阶段,可导致永久性视力丧失。本文旨在总结深度学习在新生血管性AMD中的应用。材料和方法:发布搜索。结果:深度学习已证明在分析新生血管性AMD患者的结构OCT图像方面具有有效性。这篇综述概述了深度学习在识别和测量与过渡到新血管形式的AMD风险升高相关的生物标志物中的作用。此外,深度学习技术可以量化与新生血管性AMD相关的关键OCT特征,这对这些患者具有预后意义。将深度学习纳入新生血管性AMD眼睛的评估有望增强受影响个体的临床管理策略。结论:一些研究证明了深度学习在评估新生血管性AMD患者中的有效性,这在评估这些患者中具有很好的作用。
    Background and objectives: Age-related macular degeneration (AMD) is a complex and multifactorial condition that can lead to permanent vision loss once it progresses to the neovascular exudative stage. This review aims to summarize the use of deep learning in neovascular AMD. Materials and Methods: Pubmed search. Results: Deep learning has demonstrated effectiveness in analyzing structural OCT images in patients with neovascular AMD. This review outlines the role of deep learning in identifying and measuring biomarkers linked to an elevated risk of transitioning to the neovascular form of AMD. Additionally, deep learning techniques can quantify critical OCT features associated with neovascular AMD, which have prognostic implications for these patients. Incorporating deep learning into the assessment of neovascular AMD eyes holds promise for enhancing clinical management strategies for affected individuals. Conclusion: Several studies have demonstrated effectiveness of deep learning in assessing neovascular AMD patients and this has a promising role in the assessment of these patients.
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  • 文章类型: Journal Article
    该研究的目的是评估晶格视网膜变性中巩膜的局部状态。晶格变性患者,蜗牛履带退化,或包括马蹄形视网膜破裂。使用横截面光学相干断层扫描(OCT)沿最大病变尺寸并跨最大病变尺寸捕获每位患者的单个眼睛的一个病变。测量巩膜压痕的最大高度,并在不同病变类型之间以及有无视网膜破裂或局部脱离的晶格病变之间进行比较。计算晶格病变巩膜压痕最大高度与患者年龄的相关性。包括75例患者的75只眼(44.4±14.7岁;男性35例,女性30例)。OCT显示55个(94.5%)晶格病变中的52个有不同的局部巩膜压痕,在九分之五(55.5%)的蜗牛钉病变中,11个马蹄铁断裂中有3个(27.3%)。晶格病变内巩膜最大压痕,蜗牛钉损伤,马蹄形断裂为227.2±111.3、22.0±49.2和88.5±48.4µm,分别(与晶格病变相比,蜗牛粘性病变和马蹄形断裂的p<0.001)。具有视网膜破裂和/或局部视网膜脱离的晶格病变的巩膜压痕在统计学上显着低于没有巩膜压痕的病变(p=0.01)。晶格病变巩膜压痕高度与患者年龄呈正相关(r=0.51,p=0.03)。总之,巩膜凹陷是晶格视网膜变性的标志之一,可能与流源性视网膜脱离的风险降低有关。
    The aim of the study was to evaluate the local status of the sclera in lattice retinal degeneration. Patients with lattice degeneration, snail-track degeneration, or horseshoe retinal breaks were included. One lesion of a single eye in each patient was captured with cross-sectional optical coherence tomography (OCT) along and across the greatest lesion dimension. The maximum height of scleral indentation was measured and compared between different lesion types and between lattice lesions with and without retinal breakage or local detachment. The correlation between the maximum height of the scleral indentation of lattice lesions and the age of the patients was calculated. Seventy-five eyes of 75 patients (44.4 ± 14.7 years; 35 males and 30 females) were included. OCT showed variable local scleral indentation in 52 out of 55 (94.5%) lattice lesions, in five out of nine (55.5%) snail-tack lesions, and in three out of eleven (27.3%) horseshoe breaks. The maximum scleral indentation within lattice lesions, snail-tack lesions, and horseshoe breaks was 227.2 ± 111.3, 22.0 ± 49.2, and 88.5 ± 48.4 µm, respectively (p < 0.001 for snail-tack lesions and horseshoe breaks compared to lattice lesions). Lattice lesions with retinal breaks and/or local retinal detachment had statistically significantly lower scleral indentation than those without (p = 0.01). The height of the scleral indentation of lattice lesions was positively correlated with patient age (r = 0.51, p = 0.03). In conclusion, scleral indentation is one of the hallmarks of lattice retinal degeneration and may be associated with a reduced risk of rhegmatogenous retinal detachment.
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