国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (1): 11-16.doi: 10.3760/ cma.j.issn.1673-5803.2022.01.003

• 综述 • 上一篇    下一篇

OCTA测量参数在眼部疾病诊疗中的应用

李颖颖1,2 冯洁2 丁天娇2   

  1. 1济宁医学院临床医学院,山东济宁272067;2济宁市第一人民医院眼科,山东济宁272011
  • 收稿日期:2021-04-01 出版日期:2022-02-22 发布日期:2022-03-14
  • 通讯作者: 冯洁,Email:18678769818@163.com E-mail:18678769818@163.com
  • 基金资助:
    济宁市重点研发计划(2018SMNS010)

Application of OCTA parameters in diagnosis and treatment of eye diseases

Li Yingying 1,2, Feng Jie2, Ding Tianjiao2   

  1. 1Medical College Jining Medical University, Jining 272067, China ;2 Department of Ophthalmology, Jining First People’s Hospital, Jining 272011, China
  • Received:2021-04-01 Online:2022-02-22 Published:2022-03-14
  • Contact: Feng Jie, Email: 18678769818@163.com E-mail:18678769818@163.com
  • Supported by:
    Jining Key Research and Development Plan (2018SMNS010)

摘要: 光学相干断层扫描血管成像(optical coherence tomography angiography,OCTA)是一种用于眼部血管成像的新技术,现已广泛应用于视网膜、脉络膜以及视神经的血管成像。它既可以提供视网膜血管的形态信息,又可以提供眼底血管密度的定量测量。OCTA测量参数包括黄斑区视网膜浅层毛细血管网(superficial capillary plexus,SCP)密度、视网膜深层毛细血管网(deep capillary plexus,DCP)密度以及黄斑中心凹无血管区(foveal avascular zone,FAZ)面积等。视网膜微血管系统是维持视功能的重要基础,视网膜血管密度是衡量视网膜微血管循环状态的指标。黄斑区SCP密度、DCP密度以及FAZ面积与许多眼部疾病的发生发展有关,如视网膜阻塞性疾病、黄斑裂孔、糖尿病性视网膜病变、高度近视、中心性浆液性脉络膜视网膜病变以及年龄相关性黄斑变性等。应用OCTA观察眼底血流的早期改变以及探讨相关眼部疾病的发病机制、疗效评估具有重要的临床意义。(国际眼科纵览,2022, 46:11-16)

关键词: 光学相干断层扫描血管成像, 黄斑区视网膜血管密度, 黄斑中心凹无血管区

Abstract: Optical coherence tomography angiography (OCTA) is a new technique for ocular vascular imaging, which has been widely used in the angiogenesis of retina, choroid and optic nerve. It can provide not only the morphological information of retinal vessels, but also the quantitative measurement of fundus vascular density. OCTA measurement parameters include macular superficial retinal capillary network (superficial capillary plexus, SCP) density, retinal deep capillary network (deep capillary plexus, DCP) density and macular fovea non-vascular area (foveal avascular zone, FAZ) area and so on. Retinal microvascular system is an important basis for maintaining visual function, and retinal vascular density is an index to measure the state of retinal microvascular circulation. Macular SCP density, DCP density and FAZ area are related to the occurrence and development of many eye diseases, such as retinal obstructive disease, macular hole, diabetic retinopathy, high myopia, central serous chorioretinopathy and age-related macular degeneration. It is of great clinical significance to observe the early changes of fundus blood flow and to explore the pathogenesis and curative effect evaluation of related ocular diseases by OCTA.(Int Rev Ophthalmol, 2022, 46: 11-16)

Key words: optical coherence tomography angiography, macular retinal vascular density, macular foveal avascular area