与非传染性紫外线炎相比,视网膜淋巴瘤中的光学连贯性断层扫描特征与非传染性紫外线炎相比
Lulwa El Zein1, Wendy M Smith1, Launia J White2
1Department of Ophthalmology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
BMC ophthalmology
|June 13, 2024
概括
光谱域光连贯性断层扫描 (SD-OCT) 可以帮助区分玻璃甲状腺淋巴瘤 (VRL) 和脑膜炎. 在OCT上缺乏视网膜和中央黄斑加厚是VRL的关键指标.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 视淋巴瘤 (VRL) 是一种罕见的眼内恶性瘤.
- 由于模仿脑膜炎的非特异性症状,VRL诊断具有挑战性.
- 光谱域光连贯性断层扫描 (SD-OCT) 有助于描述VRL.
研究的目的:
- 确定特定的SD-OCT特征,使VRL与紫外线炎区分开来.
- 为了比较OCT在VRL中的发现与中间性脑膜炎和肉体后部脑膜炎.
主要方法:
- 对56名活检证明的VRL患者和45名脑膜炎 (中间或尾后部) 患者的回顾性审查.
- 在初始呈现时对SD-OCT图像的分析.
- 在VRL和脑膜炎组之间比较OCT特征.
主要成果:
- VRL患者显示出更多的视网膜前沉积物,视网膜内透物,内视网膜超反射斑点,外视网膜缩,子视网膜沉积物,RPE变化和子RPE沉积物.
- 尿道炎患者更频繁地表现出脑外网膜 (ERM),中央黄斑厚,囊性黄斑,下液和下液.
- 缺少ERM和中央黄斑加厚与VRL有显著的关联.
结论:
- SD-OCT揭示了区分VRL与紫外线炎的独特特征.
- 缺少ERM和中央黄斑加厚是VRL的高度预测.
- SD-OCT是早期诊断VRL的一个有价值的工具.
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