目的:使用超宽视野(UWF)眼底成像结合导航中央和周边横截面和三维(3D)扫频源光学相干断层扫描(SS-OCT)扫描评估中央和周边视网膜和脉络膜疾病。
方法:回顾性研究,涉及332名连续患者,男性和女性的分布几乎相等。患者的平均年龄为52岁(范围18-92岁)。平均屈光误差为-3.80D(范围为7.75至-20.75D)。
结果:本研究中的观察结果证明了外周导航SS-OCT在评估各种眼部疾病中的功效。该技术提供了高质量的周边玻璃体图像,玻璃体视网膜界面,视网膜,和脉络膜,使玻璃体漂浮物和混浊物可视化,视网膜裂孔和眼泪,色素性病变,和周边视网膜变性。3DOCT扫描增强了这些异常的可视化,并改善了诊断和治疗决策。
结论:导航的中央和周边横断面和3DSS-OCT扫描在视网膜疾病的评估和管理中提供了显著的互补益处。他们除了UWF成像提供了中央和周边眼结构的全面视图,帮助早期发现,精确的解剖学测量,和疾病进展的客观监测。此外,这项技术是患者教育的宝贵工具,学员的教学工具,和用于医学法律目的的文件。
OBJECTIVE: To assess central and peripheral retinal and choroidal diseases using ultra-widefield (UWF) fundus imaging in combination with navigated central and peripheral cross-sectional and three-dimensional (3D) swept source optical coherence tomography (SS-OCT) scans.
METHODS: Retrospective study involving 332 consecutive patients, with a nearly equal distribution of males and females. The mean age of patients was 52 years (range 18-92 years). Average refractive error was -3.80 D (range +7.75 to -20.75 D).
RESULTS: The observations in this study demonstrate the efficacy of peripheral navigated SS-OCT in assessing various ocular conditions. The technology provides high-quality images of the peripheral vitreous, vitreoretinal interface, retina, and choroid, enabling visualization of vitreous floaters and opacities, retinal holes and tears, pigmented lesions, and peripheral retinal degenerations. 3D OCT scans enhance the visualization of these abnormalities and improve diagnostic and therapeutic decisions.
CONCLUSIONS: Navigated central and peripheral cross-sectional and 3D SS-OCT scans offer significant complementary benefits in the assessment and management of retinal diseases. Their addition to UWF imaging provides a comprehensive view of central and peripheral ocular structures, aiding in early detection, precise anatomical measurements, and objective monitoring of disease progression. In addition, this technology serves as a valuable tool for patient education, a teaching tool for trainees, and documentation for medico-legal purposes.