叶节约分支视网膜动脉阻塞图像与光学连贯性断层扫描血管学:两个病例报告
Benjamin R Lin1, Philip J Rosenfeld1, Harry W Flynn1
1Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, FL, USA.
Case reports in ophthalmology
|April 18, 2025
概括
分支视网膜动脉封闭 (BRAO) 是眼科紧急情况. 广场OCT血管造影 (OCTA) 可以在BRAO后几年检测持续的毛细血管不 perfusion,帮助诊断和预后.
科学领域:
- 眼科医生 眼科 眼科
- 血管医学 血管医学
- 医疗成像医学成像
背景情况:
- 分支视网膜动脉封闭 (BRAO) 是需要系统风险因素评估的眼科紧急情况.
- 急性BRAO呈现于OCT上的视网膜白化和视网膜内部加厚,这可能会随着时间的推移而消失.
- 由于急性症状的消散,诊断远程BRAO可能具有挑战性.
研究的目的:
- 突出广泛OCT血管造影 (OCTA) 的诊断实用性,用于识别BRAO后的慢性毛细血管不 perfusion.
- 评估患有斑点相关的BRAO患者的视力敏度结果.
主要方法:
- 两个患有BRAO的患者的病例介绍.
- 使用了临床检查,光学连贯断层扫描 (OCT) 和广场OCT血管图 (OCTA).
- 进行了视力敏度和OCTA发现的后续评估.
主要成果:
- 广场OCTA在两个患者的初始BRAO的血管分布中发现了持续的毛细血管脱落,即使在急性症状消失后也是如此.
- 尽管有斑点的参与,但由于节省,这两名患者都获得了良好的视力敏度结果 (20/30和20/20).
结论:
- 广场OCTA对于在偏远BRAO中表征持续的毛细管不 perfusion 具有价值.
- 在涉及斑点的BRAO中,如果节省膜,可能会产生有利的视觉结果.
更多相关视频
相关概念视频
Glaucoma: Overview
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
Diabetic Retinopathy
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...


