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早产儿视网膜病变黄斑中心视网膜微血管形态特征:基于光学相干断层扫描血管成像(OCTA)的观察 被引量:14
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作者 冷云霞 张柳 +4 位作者 张蒙 吴敏 蔡诚 任国梁 高宗银 《眼科新进展》 CAS 北大核心 2018年第4期357-360,共4页
目的采用光学相干断层扫描血管成像(optical coherence tomography angiography,OCT A)观察并分析早产儿视网膜病变(retinopathy of prematurity,ROP)患儿黄斑中心视网膜微血管网的特征。方法采用横断面研究,选取有ROP激光治疗病史的7... 目的采用光学相干断层扫描血管成像(optical coherence tomography angiography,OCT A)观察并分析早产儿视网膜病变(retinopathy of prematurity,ROP)患儿黄斑中心视网膜微血管网的特征。方法采用横断面研究,选取有ROP激光治疗病史的7~15岁ROP患儿14例25眼设为ROP组及年龄相对应的足月出生儿童20例40眼设为对照组。使用RTVue XR Avanti-OCTA等仪器对两组儿童的最佳矫正视力(best corrected visual acuity,BCVA)、黄斑中心凹视网膜厚度(central foveal thickness,CFT)、黄斑中心凹无血管区(foveal avascular zone,FAZ)面积、表层视网膜血管网(superficial retinal capillary plexus,组患儿的FAZ面积分别为(0.04±0.05)mm^2和(0.29±0.08)mm^2,组间差异有统计学意义(P<0.001)。ROP组和对照组的SCP密度分别为42.70%±5.90%和35.90%±6.30%,组间差异有统计学意义(P<0.010)。ROP组和对照组的CFT分别为(328.50±34.90)μm和(236.80±23.40)μm,组间差异有统计学意义(P<0.001)。ROP组和对照组患儿BCVA分别为0.83±0.14和0.85±0.26,组间差异无统计学意义(P>0.05)。结论 ROP组患儿具有更小或没有形成明显的FAZ,同时伴有CFT增厚和SCP密度增加;FAZ面积及CFT对ROP患儿BCVA无明显影响。 展开更多
关键词 早产儿视网膜病变 光学相干断层扫描血管成像 黄斑中心凹无血管区 表层视网膜血管网 黄斑中心凹视网膜厚度
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Comparative Quantitative Analysis of Retinal Superficial Capillary Plexus in Patients with Retinal Vein Occlusion and Unaffected Fellow Eyes
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作者 Sinan Aptikadir Nelly Sivkova 《Open Journal of Ophthalmology》 2024年第3期218-228,共11页
Purpose: To evaluate optical coherence tomography angiography (OCT-A) data obtained from the superficial retinal capillary plexus of patients with retinal vein occlusion and comparative analysis with data registered f... Purpose: To evaluate optical coherence tomography angiography (OCT-A) data obtained from the superficial retinal capillary plexus of patients with retinal vein occlusion and comparative analysis with data registered from unaffected fellow eyes. Methods: The examined patients were classified into 2 groups: group 1—eyes with established retinal vein occlusion (n = 29) and group 2—unaffected fellow eyes of patients with retinal vein occlusion (n = 24). The scanning protocol “Angiography 3 × 3 mm” of Zeiss Cirrus HD-OCT 6000, AngioPlex Metrix was used to evaluate the retinal superficial capillary plexus. The analyzed parameters were vascular density and perfusion density, as well as the area, perimeter, and circularity of the foveolar avascular zone (FAZ). Results: The comparative analysis of FAZ parameters at the superficial capillary plexus (SCP) between group 1 (eyes with retinal vein occlusion) and group 2 (unaffected fellow eyes) showed significant results for the three parameters, respectively area (p = 0.003), perimeter (p ≤ 0.001), and circularity (p = 0.011) of FAZ. The comparative analysis of the vascular network at SCP in patients with diagnosed retinal vein occlusion and unaffected fellow eyes showed significant results for vascular density (VD) in the central (p = 0.038) and inner (p ≤ 0.001) zones as well as total VD (p ≤ 0.001) were statistically significant. Moreover, the results obtained in the study of vascular perfusion (VP) indicated significant results in the inner zone (p ≤ 0.001) and total VP (p = 0.001). Vascular perfusion in the central zone (p = 0.116) was the only parameter not to meet significant results. Conclusion: The current study observed a significant enlargement of the FAZ and loss of its circularity, along with a reduction in vascular network parameters at the superficial retinal capillary plexus level. 展开更多
关键词 retinal Vein Occlusion Optical Coherence Tomography Angiography superficial retinal capillary plexus
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