【摘要】 目的探讨三维光学相干断层扫描(3D-OCT)对45岁以下的非典型中心性浆液性脉络膜视网膜病变(CSC)的诊断价值。方法搜集荧光素眼底血管造影(FFA)结果为非典型CSC的患者81例(81只眼),应用TOP-CON3DOCT-1000+COLOR对其进行OCT检查,根据OCT图像对FFA进行分析。结果81只眼FFA的3D-OCT结果如下:(1)荧光影略扩大("微漏")43只眼,提示神经上皮浅脱离(部分伴色素上皮浆液性脱离),而3D-OCT扫描却发现了5只眼有纤维血管性色素上皮脱离;(2)荧光影未见扩大共31只眼,其荧光积存和透见荧光提示色素上皮脱离和色素上皮脱失,而3D-OCT却发现了纤维血管性色素上皮脱离3只眼。(3)FFA中未见任何异常荧光7只眼,而3D-OCT扫描却发现了6只眼为限局性浆液性神经上皮浅脱离。81只眼中,3D-OCT扫描结果,发现了FFA中未显示的病灶,包括纤维血管性色素上皮脱离8只眼和限局性浆液性神经上皮浅脱离6例,共14只眼,占总数的17.3(。结论3D-OCT以快捷断层扫描方式,能发现45岁以下的非典型的CSC所包含的深层隐匿的病灶,有利于视网膜和脉络膜的疾病的准确诊断。更多还原

【Abstract】 Objective To analyze valve of 3D-OCT in diagnosis of non-classic central serous chorioretinopathy in patients younger than 45.Methods TOPCON 3DOCT-1000+COLOR were used to collect and analyze the results of non-classic central serous chorioretinopathy in 81 patients younger than 45,after phatographys of fundus fluorescein angiogmphy.Results The results of FFA of non-classic central serous chorioretinopathy in 81 patients patients younger than 45:①with less flnourosensory leaking in 43 patients:neurosensory detachment(or detachment of retinal pigment epithelium);3D-OCT with retinal pigment epithelium widening rip proliferation in 5 cases;②fluorescein with no enlarging in 31 cases:retinal pigment epithelium detachment or defect,3D-OCT with retinal pigment epithelium widening rip proliferation in 3 cases;③no fluorescence in 7 cases:but 3DOCT with neurosensory detachment atent leaking in 6 cases 。Of 81 patients,14 cases have been found with atent disease,17.3﹪.Conclusion 3D-OCT is more accurate in diagnosis of non-classic central serous chorioretinopathy in patients younger than 45.更多还原