[1]王玲,生侠,吴清静,等.红外线及自发荧光影像在糖尿病性黄斑水肿诊断中的价值[J].眼科新进展,2014,34(8):754-758.[doi:10.13389/j.cnki.rao.2014.0207]
　WANG Ling,SHENG Xia,WU Qing-Jing,et al.Value of infrared ray and auto fluorescence in diagnosis of diabetic macular edema[J].Recent Advances in Ophthalmology,2014,34(8):754-758.[doi:10.13389/j.cnki.rao.2014.0207]
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红外线及自发荧光影像在糖尿病性黄斑水肿诊断中的价值
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
34卷
期数:
2014年8期
页码:
754-758
栏目:
应用研究
出版日期:
2014-08-05

文章信息/Info

Title:
Value of infrared ray and auto fluorescence in diagnosis of diabetic macular edema
作者:
王玲; 生侠; 吴清静; 邢球; 彭昕; 谢青
海南省海口市，中南大学湘雅医学院附属海口医院，海口市人民医院眼科
Author(s):
WANG Ling; SHENG Xia; WU Qing-Jing; XING Qiu; PENG Xin; XIE Qing
关键词:
自发荧光; 红外线; 糖尿病性黄斑水肿
Keywords:
autofluorescence ;  infrared ray ;  diabetic macular edema
DOI:
10.13389/j.cnki.rao.2014.0207
文献标志码:
A
摘要:
目的　观察糖尿病性黄斑水肿（ｄｉａｂｅｔｉｃｍａｃｕｌａｒｅｄｅｍａ，ＤＭＥ）的眼底红外线（ｉｎ-ｆｒａｒｅｄｒａｙ，ＩＲ）和自发荧光（ａｕｔｏｆｌｕｏｒｅｓｃｅｎｃｅ，ＡＦ）的影像学特点并初步评估它们在ＤＭＥ临床诊断中的应用价值。方法　采用ＳｐｅｃｔｒａｌｉｓＨＲＡ海德堡共焦激光扫描系统的ＩＲ模式和ＡＦ模式，对１３３例２３９眼ＤＭＥ患者行ＩＲ及ＡＦ眼底照相、眼底荧光血管造影（ｆｕｎｄｕｓｆｌｕｏ-ｒｅｓｃｅｎｃｅａｎｇｉｏｇｒａｐｈｙ，ＦＦＡ）及光学相干断层扫描（ｏｐｔｉｃａｌｃｏｈｅｒｅｎｃｅｔｏｍｏｇｒａｐｈｙ，ＯＣＴ）检查，分析ＩＲ和ＡＦ的影像学特点。结果　２３９眼中，ＡＦ有异常影像的１８２眼（７６．１５％），ＩＲ有异常影像的１６１眼（６７．３６％）。ＡＦ及ＩＲ同时有异常影像的有１６１眼（６７．３６％），其中ＡＦ、ＩＲ同时为低荧光者３８眼（１５．９０％），ＡＦ、ＩＲ同时为高荧光者３５眼（１４．６４％），ＡＦ为低荧光、ＩＲ呈高荧光者５１眼（２１．３４％），ＡＦ为高荧光、ＩＲ呈低荧光者２７眼（１１３０％），ＡＦ、ＩＲ同时存在低、高荧光者１０眼（４．１８％）；ＡＦ异常、ＩＲ正常２１眼（８．７９％）；ＡＦ及ＩＲ均正常５７眼（２３．８５％）。结论　ＡＦ诊断ＤＭＥ的敏感度较高，ＡＦ联合ＩＲ诊断ＤＭＥ更能较准确地判断ＤＭＥ患者的视网膜及脉络膜的损伤程度。
Abstract:
Objective To observe the image characteristics of infrared ray (IR) and autofluorescence ( AF)in diabetic macular edema ( DME) . and estimate their value in diagnosis of DME. Methods IR and AF mode of Haidelgber Spectralis retina angiography ( HRA) were used to examine 239 eyes of 139 DME patients for IR and AF photography of ocular fundus . the fundus fluorescence angiography ( FFA) and optical coherence tomography ( OCT) examination were also taken. The image characteristics of IR and AF were analyzed. Results In 239 eyes , AF images were abnormal in 182 eyes (76. 15% ) .IR were abnormal in 161 eyes (67. 36% ). Both IR and AF image were abnormal in 161 eyes ( 67. 36% ) , among these cases. both AF and IR were hypofluorescence in 38 eyes (15. 90% ) , AF and IR were hyperfluorescence in 35 eyes ( 14. 64% ) . AF were hypofluorescence and IR were hyperfluorescence in 51 eyes (21. 34% ) , AF were hyperfluorescence and IR were hypofluorescence in 27 eyes ( 11. 30% ) , both AF and IR were a mixture of hypofluorescence and hyperfluorescence in 10 eyes (4. 18% ) , AF were abnormal and IR were normal in 21 eyes ( 8. 7g% ) ,both IR and AF were normal in 57 eyes (23. 85% ) . Conclusion The sensitivity of diagnosing DME with AF is higher. Combirung with IR. It is more valuable to judge the impairment of retina and choroid in DME.

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[1]邱新文,周爱云,邱丘,等.非损伤阈值下微脉冲激光治疗慢性中心性浆液性脉络膜视网膜病变[J].眼科新进展,2020,40(11):1049.[doi:10.13389/j.cnki.rao.2020.0235]
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备注/Memo

备注/Memo:
海南省卫生厅医学科研项目（编号：琼卫２０１２-ＰＴ-５４）
更新日期/Last Update: 2014-07-30