Optical coherence tomography of branch retinal vein occlusion
Optical coherence tomography of branch retinal vein occlusion
复制标题
DOI：
10.1097/00006982-200306000-00009
复制
发表时间：
2003-06-01
影响因子：
3.3
通讯作者：
Gross, NE
中科院分区：
文献类型：
--
作者：
Spaide, RF;Lee, JK;Gross, NE
目的：利用光学相干断层扫描（OCT）评估继发于视网膜分支静脉阻塞（BRVO）的浆液性视网膜脱离（SRD）的发生率。方法：对 14 名 BRVO 患者的 14 只眼睛进行了详细的病史、检眼镜检查和荧光素血管造影评估。还对他们进行了 OCT 研究。结果：14 名患者包括 8 名女性和 6 名男性，平均年龄为 73.6 +/- 10.5 岁（范围为 55-90 岁）。荧光血管造影发现黄斑囊样水肿4只眼，OCT发现黄斑囊样水肿10只眼。 14只眼中的10只（71.4%）发现了涉及黄斑任何部分的SRD，而6只（42.9%）只眼发现了延伸至中央凹的SRD。 14 名患者中的 2 名 (14.3%) 还表现出黄斑中心凹下出血，似乎通过 SRD 向下重力至脱离的依赖部分。结论：文献中很少报道通过检眼镜发现继发于 BRVO 的 SRD 患者，这表明这是一种罕见的并发症。作者通过 OCT 发现 SRD 常见于 BRVO。此外，在 BRVO 的情况下可能会发生视网膜下出血，作者提出，血液在重力作用下通过视网膜下液沉淀到视网膜后面。
Purpose: To evaluate the incidence of serous retinal detachment (SRD) secondary to a branch retinal vein occlusion (BRVO) by using optical coherence tomography (OCT).Methods: Fourteen eyes of 14 patients with a BRVO underwent a detailed history, ophthalmoscopic examination, and fluorescein angiographic evaluation. They were also studied with OCT.Results: The 14 patients included eight women and six men with a mean age of 73.6 +/- 10.5 years (range, 55-90 years). Four eyes were found to have cystoid macular edema by fluorescein angiography, whereas 10 cases were detected by OCT. SRD involving any portion of the macula was found in 10 (71.4%) of the 14 eyes, and SRD extending into the fovea was found in six (42.9%) eyes. Two (14.3%) of the 14 patients also showed a subfoveal hemorrhage that appeared to have gravitated inferiorly through the SRD to the dependent portion of the detachment.Conclusions: That few patients with SRD secondary to a BRVO discovered by ophthalmoscopy have been reported in the literature would suggest that this is an uncommon complication. The authors found with OCT that SRD commonly occurs in BRVO. In addition, subretinal hemorrhage may occur in the context of BRVO, and the authors propose that blood gravitates through the subretinal fluid to settle behind the retina.