首页|光学相干断层扫描在近视性眼底病变中的研究进展

光学相干断层扫描在近视性眼底病变中的研究进展

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近视是世界上最常见的眼部问题,据估计2020-2050年全球范围内近视和高度近视的患病率将继续增长.近视是临床常见眼部疾病,患病率高、预防效果差,病理性近视常伴眼底病变、眼球壁变薄、近视程度增加、巩膜延伸等,造成眼底组织损害,又称高度进行性近视.随着眼科辅助检查的不断发展,一些检查方法已经可以做到对近视患者的眼底改变进行体外精确测量,例如光学相干断层扫描(OCT),此检查具有无创、操作简便等优点,可以通过非接触对视网膜结构进行定量分析,使医生可以更方便地观察视网膜断层成像,并获得更精确的视网膜信息,从而为评估眼底病变提供更多依据.目前,OCT已广泛应用于临床或科学眼科,以获得高分辨率的视网膜横截面图像,成为眼底病相关并发症诊断和管理中必不可少的检查手段.本文对OCT在近视性眼底黄斑、视盘、视网膜、脉络膜等结构病变中的应用进展进行综述,以探究OCT作为近视眼底筛查工具的应用价值.
Research Progress of Optical Coherence Tomography in Myopic Fundus Lesions
Myopia is the most common eye disease in the world.It is estimated that the prevalence of myopia and high myopia will continue to increase globally from 2020 to 2050.Myopia is a common clinical eye disease with high prevalence and poor prevention effect.Pathological myopia is accompanied by fundus lesions,thinning of the ocular wall,increased degree of myopia,sclera extension and so on,causing fundus tissue damage,also known as highly progressive myopia.With the continuous development of ophthalmic auxiliary examinations,some examination methods have been able to accurately measure the fundus changes of myopic patients in vitro,such as optical coherence tomography(OCT).This examination has the advantages of non-invasive and simple operation.It can quantitatively analyze the retinal structure through non-contact,so that doctors can more easily observe retinal tomography and obtain more accurate retinal information,so as to provide more basis for evaluating fundus lesions.At present,OCT has been widely used in clinical or scientific ophthalmology to obtain high-resolution retinal cross-sectional images,which has become an indispensable examination method in the diagnosis and management of complications related to fundus diseases.This article reviews the application progress of OCT in myopic fundus macular,optic disc,retina,choroid and other structural lesions,in order to explore the application value of OCT as a screening tool for myopic fundus.

MyopiaFundus lesionsOptical coherence tomography

陈千、李瑞庄、谭凯茵

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广东医科大学第一临床医学院,广东 湛江 524000

广东医科大学附属医院眼科,广东 湛江 524000

近视 眼底病变 光学相干断层扫描

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(8)
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