Serous macular detachment in diabetic cystoid macular oedema
Serous macular detachment in diabetic cystoid macular oedema
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DOI：
10.1111/j.1600-0420.2005.00387.x
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发表时间：
2005-02-01
期刊：
影响因子：
--
通讯作者：
Karacorlu, S
中科院分区：
文献类型：
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作者：
Ozdemir, H;Karacorlu, M;Karacorlu, S
目的：目的：探讨糖尿病性黄斑囊样水肿（CME）中浆液性黄斑脱离的定义。患者接受了完整的眼科检查，荧光素血管造影和光学相干断层扫描（OCT）。有视网膜前膜或玻璃体黄斑牵引的眼睛不包括在研究中。所有患者均采用光学相干断层扫描仪-3进行眼底水平、垂直和四斜平面扫描。结果：所有病例视网膜厚度的增加主要与低反射性视网膜内腔有关。OCT检查，78只眼中有24只（31%）有浆液性黄斑脱离，表现为视网膜在无反射腔上方隆起，下方组织阴影极小。血管造影没有显示浆液性黄斑脱离在任何patient.Conclusions：我们的数据显示，糖尿病CME的浆液性黄斑脱离的发病率比以前报道的要高得多。光学相干断层扫描-3允许在患有糖尿病CME的患者中在裂隙灯下或通过荧光素血管造影难以诊断的非常细微的浆液性黄斑脱离的体内横截面观察。
Purpose: To define serous macular detachment in patients with diabetic cystoid macular oedema (CME).Methods: This study involved 78 eyes of 58 patients with diabetic CME. The patients underwent complete ophthalmic examination, fluorescein angiography and optical coherence tomography (OCT). Eyes with epiretinal membrane or vitreo- macular traction were not included in the study. Optical coherence tomography-3 was used in all patients and fundi were scanned on the horizontal, vertical and four oblique planes through the centre of the fovea.Results: In all cases the increased thickness of the retina was related primarily to the hyporeflective intraretinal cavities. With OCT, 24 of 78 eyes (31%) had serous macular detachment as shown by retinal elevation over a non-reflective cavity with minimal shadowing of the underlying tissues. Fluorescein angiography did not show serous macular detachment in any patient.Conclusions: Our data showed that the incidence of serous macular detachment in diabetic CME was much higher than previously reported. Optical coherence tomography-3 allows an in vivo cross-sectional observation of very subtle serous macular detachment that is difficult to diagnose at the slit- lamp or by fluorescein angiography in patients with diabetic CME.