频域OCT在白内障超声乳化术前检查黄斑病变的临床应用
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摘要
目的:探讨频域光学相干断层扫描(OCT)在白内障超声乳化术前检查黄斑病变的应用意义。方法:选取2015年10月-2016年9月间本院择期行白内障超声乳化吸除手术治疗的患者160例(晶体混浊程度小于C3N3P3)进行临床研究,所有患者术前均行黄斑部OCT检查及眼底照相检查。统计频域OCT对黄斑部疾病的检出率,获取OCT图像;统计眼底照相对黄斑疾病的检出率,对比两种检查方式在白内障术前黄斑疾病的检出率。结果:所有结果以手术病理诊断结果为准,频域OCT检查黄斑病的符合率为98.83%,而免散瞳数码眼底照相诊断符合率为87.50%,两种检查结果一致率为91.30%;黄斑区病变患者中心厚度远高于未病变患者,差异有统计学意义(P<0.05)。结论:OTC在白内障行超声乳化合并黄斑病变患者灵敏度较高,可以显示不同黄斑水肿的情况,推荐作为术前的常规检查。
Objective:To investigate the significance of frequency-domain optical coherence tomography(OCT) in the examination of macular degeneration before phacoemulsification.Method:A total of 160 patients with phacoemulsification and occlusion surgery in our hospital from October 2015 to September 2016 were selected for clinical study(the degree of crystal opacity was less than C3 N3 P3).All patients underwent macular OCT and fundus photography before surgery.Statistical frequency domain OCT detection rate of macular diseases,access to OCT images;statistical detection of fundus photophobia macular disease detection rate,compared two inspection methods in the detection of macular degeneration before cataract.Result:All results were based on the results of surgical pathology.The coincidence rate of frequency-domain OCT for maculopathy was 98.83%,and the coincidence rate of digital dilated fundus photography was 87.50%.The consistency rate of two examination results was 91.30%.The thickness of patients with macular lesions was significantly higher than that of patients without lesions,and the difference was statistically significant(P<0.05).Conclusion:OTC phacoemulsification with macular degeneration in cataract patients has a higher sensitivity and can show different macular edema.It is recommended as a routine preoperative examination.
Objective:To investigate the significance of frequency-domain optical coherence tomography(OCT) in the examination of macular degeneration before phacoemulsification.Method:A total of 160 patients with phacoemulsification and occlusion surgery in our hospital from October 2015 to September 2016 were selected for clinical study(the degree of crystal opacity was less than C3 N3 P3).All patients underwent macular OCT and fundus photography before surgery.Statistical frequency domain OCT detection rate of macular diseases,access to OCT images;statistical detection of fundus photophobia macular disease detection rate,compared two inspection methods in the detection of macular degeneration before cataract.Result:All results were based on the results of surgical pathology.The coincidence rate of frequency-domain OCT for maculopathy was 98.83%,and the coincidence rate of digital dilated fundus photography was 87.50%.The consistency rate of two examination results was 91.30%.The thickness of patients with macular lesions was significantly higher than that of patients without lesions,and the difference was statistically significant(P<0.05).Conclusion:OTC phacoemulsification with macular degeneration in cataract patients has a higher sensitivity and can show different macular edema.It is recommended as a routine preoperative examination.
引文
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[10]毕晓达,樊旭,关娟,等.频域OCT在激光笔致黄斑病变诊断中的应用[J].中华眼外伤职业眼病杂志,2016,38(5):344-347.
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[13]查屹,杜以霞,蔡剑秋,等.基于OCT检测的视网膜结构与弱视关系的研究进展[J].中华医学杂志,2016,96(11):908-909.
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[15]付文丽,刘利莉,郭冉阳,等.OCT检查在外伤性黄斑裂孔中的应用[J].国际眼科杂志,2017,17(12):2348-2350.
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[18]王菁洁,郭晟,孔冬梅,等.免散瞳眼底照相在眼底检查中的应用[J].中医眼耳鼻喉杂志,2015,5(1):31-32.
[19]樊冬生,郭慧敏,陈子林.应用OCT检测儿童及青少年正常视网膜神经纤维层厚度[J].眼科新进展,2015,35(1):63-66.
[20]庞燕华,赵桂玲,柯毅,等.3D OCT检测黄斑区视网膜厚度在青光眼诊断中的价值[J].眼科新进展,2014,34(5):468-470.
[2]赵星星,崔巍,高伟.微切口白内障超声乳化术的临床研究进展[J].临床眼科杂志,2014,22(5):474-476.
[3]胡静微,贺意儿.小切口超声乳化治疗高度近视并发白内障的临床疗效[J].眼科新进展,2014,34(4):369-370.
[4]李岩,齐朋承,刘佳.中老年糖尿病眼底病变患者白内障术后的黄斑水肿和视力[J].中国老年学杂志,2014,34(1):1-3.
[5]杨萍,周文君.白内障超声乳化术后影响角膜内皮细胞损伤因素的Logistic分析及预测模型[J].重庆医学,2014,43(25):3343-3345.
[6]阿布都热合曼·达吾提.老年性白内障超声乳化术与小切口囊外摘出术效果比较[J].中华眼外伤职业眼病杂志,2016,38(3):224-226.
[7]张慧,崔巍.硬核白内障手术治疗的临床研究进展[J].国际眼科杂志,2016,16(5):856-858.
[8]张智伟.探讨眼底照相及眼底荧光造影在糖尿病性视网膜病变的临床观察[J].大家健康旬刊,2016,10(12):277-278.
[9]岳建中,龚一波.免散瞳数码眼底照相在老年眼底病中的筛查价值[J].实用医院临床杂志,2018,7(1):76-77.
[10]毕晓达,樊旭,关娟,等.频域OCT在激光笔致黄斑病变诊断中的应用[J].中华眼外伤职业眼病杂志,2016,38(5):344-347.
[11]徐凤,王梅艳,李之忠,等.糖尿病黄斑水肿治疗研究现状与进展[J].中国处方药,2017,15(2):20-21.
[12]赵晨皓,刘庆淮,曹二兵,等.康柏西普与雷珠单抗治疗年龄相关性黄斑变性的临床研究[J].现代生物医学进展,2017,17(10):1889-1891.
[13]查屹,杜以霞,蔡剑秋,等.基于OCT检测的视网膜结构与弱视关系的研究进展[J].中华医学杂志,2016,96(11):908-909.
[14]谭洪,杨丹,姜兴华.OCT检查对特发性黄斑前膜患者术后视力预后的评估价值[J].国际眼科杂志,2016,16(1):147-149.
[15]付文丽,刘利莉,郭冉阳,等.OCT检查在外伤性黄斑裂孔中的应用[J].国际眼科杂志,2017,17(12):2348-2350.
[16]邱春芳.免散瞳数字眼底照相在健康体检中的应用[J].中国保健营养,2016,26(14):172.
[17]聂瑾,王佳佳.免散瞳眼底数码照相机筛查白内障需手术者的方法评估[J].中国保健营养,2016,26(26):820-821.
[18]王菁洁,郭晟,孔冬梅,等.免散瞳眼底照相在眼底检查中的应用[J].中医眼耳鼻喉杂志,2015,5(1):31-32.
[19]樊冬生,郭慧敏,陈子林.应用OCT检测儿童及青少年正常视网膜神经纤维层厚度[J].眼科新进展,2015,35(1):63-66.
[20]庞燕华,赵桂玲,柯毅,等.3D OCT检测黄斑区视网膜厚度在青光眼诊断中的价值[J].眼科新进展,2014,34(5):468-470.