视盘的临床和成像特征
Josephine R Seela1, Dieter D Brandner, Alexander L Ringeisen
1University of Minnesota Medical School Twin Cities (JRS, DDB), Minneapolis, Minnesota; St. Paul Eye Clinic (ALR), St. Paul, Minnesota; Department of Ophthalmology (ASA), Hennepin Healthcare, Minneapolis, Minnesota; and Department of Ophthalmology and Visual Neurosciences (ALR, ASA, JJY), University of Minnesota Medical School Twin Cities, Minneapolis, Minnesota.
概括
视觉盘 (Uveitic optic disc edema,简称UDE) 的特征是多模式成像,光学连贯性断层扫描 (OCT) 的视觉盘高度与光素血管学结果相关. 在这组人群中,内压升高是罕见的.
科学领域:
- 眼科 眼科
- 神经眼科
背景情况:
- 紫外光盘 (UDE) 是指与紫外炎相关的光盘.
- 这项研究描述了明尼苏达大学评估的UDE患者.
研究的目的:
- 描述UDE患者的临床和成像特征.
- 评估多式成像在UDE诊断和监测中的实用性.
主要方法:
- 对31名UDE患者 (55只眼睛) 的回顾性评估.
- 光学连贯断层扫描 (OCT) 光学磁盘光谱和视网膜神经纤维层 (RNFL) 厚度的分析.
- 视野 (VF) 测试,光素血管造影 (FA) 和大脑核磁共振 (MRI) 的审查.
主要成果:
- 在VF缺陷严重程度和RNFL厚度之间发现了正相关性 (P=0. 042).
- 在FA上的磁盘光与最大磁盘高度有显著的相关性 (P=0. 0177).
- 脑内血压升高是罕见的 (4/31名患者).
结论:
- 多模式成像 (OCT,VF,FA) 有助于UDE诊断.
- 在监测UDE时,OCT光盘的光高度可以作为FA强度的替代品.
- 仅基于光盘外观的UDE,神经成像是不常见的.
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