白内障术后黄斑囊样水肿频域光相干断层扫描形态表现

发布时间：2018-02-22 15:21

本文关键词： 黄斑囊样水肿频域OCT 白内障超声乳化吸除术　出处：《武汉大学学报(医学版)》2014年05期 　论文类型：期刊论文

【摘要】：目的:观察白内障术后黄斑囊样水肿频域光相干断层扫描(SD-OCT)的形态表现。方法:回顾性分析自2012年9月至2013年10月在武汉大学人民医院眼科中心就诊确诊为单纯性白内障后,行白内障超声乳化吸除+人工晶体植入术,术后经裂隙灯、间接双目眼底镜、黄斑频域OCT、眼底荧光素钠血管造影确诊为黄斑囊样水肿13例患者资料。结果:13例(13眼)患者中均(100%)可见视网膜内囊腔。1例(7.69%)可见不完全玻璃体后脱离。3例(23.08%)可见神经上皮层分离。白内障术前、术后1月、2月黄斑中心凹厚度为(213.92±18.11)μm、(432.46±48.44)μm、(297.92±28.34)μm。术前与术后1月黄斑中心凹厚度差异有统计学意义(t=19.49,P0.001),术前与术后2月黄斑中心凹厚度差异有统计学意义(t=9.78,P0.001)。结论:黄斑囊样水肿是白内障术后较常见并发症,通过频域OCT检查,在定性、定量方面诊断黄斑囊样水肿具有一定的帮助作用。
[Abstract]:Objective: to observe the morphologic features of macular cystic edema with frequency domain optical coherence tomography (SD-OCT) after cataract surgery. Methods: from September 2012 to October 2013, the patients were diagnosed as simple cataract at the ophthalmic center of Renmin Hospital of Wuhan University. Phacoemulsification and intraocular lens implantation were performed. Macular frequency-domain Oct, fundus fluorescein sodium angiography confirmed 13 cases of macular cystic edema. Results in 13 cases (13 eyes, 13 eyes), 100% of the patients (100%) were found in the retinal capsule cavity of 1 case (7.69%).) incomplete posterior vitreous detachment was found in 3 cases (23.08%). Separation of nerve epithelium. Preoperative cataract, On January and February, the thickness of fovea was 432.46 卤48.44 渭 m and 297.92 卤28.34 渭 m respectively. There was significant difference between preoperative and postoperative macular fovea thickness (19.49 卤P 0.001). There was significant difference between preoperative and postoperative macular fovea thickness (P 0.001). Conclusion: macular cystic edema is a significant difference between preoperative and postoperative macular fovea thickness. Is a common complication after cataract surgery. Frequency domain OCT examination is helpful to diagnose macular cystic edema qualitatively and quantitatively.
【作者单位】：武汉大学人民医院眼科中心;
【分类号】：R779.6

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