眼科

• 述评 • 上一篇    下一篇

视网膜脉络膜血管特征性改变作为系统性疾病生物标志物及其预警作用

惠延年   

  1. 710032西安,第四军医大学西京医院眼科  全军眼科研究所
  • 收稿日期:2019-04-26 出版日期:2019-05-25 发布日期:2019-06-06
  • 通讯作者: Email: ynlhui@163.com E-mail:ynlhui@163.com

Characteristic features of retinal and choroidal vasculatures as biomarkers and warning for systemic diseases

HUI Yan-nian   

  1. Department of Ophthalmology, Xijing Hospital, The Eye Institute of PLA, The Fourth Military Medical University, Xi’an 710032, China
  • Received:2019-04-26 Online:2019-05-25 Published:2019-06-06
  • Contact: Email: ynlhui@163.com E-mail:ynlhui@163.com

摘要:

    视网膜血管是人体血管系统中唯一可以在体直视的血管,其形态结构或功能的变化可直接或间接地反映一些全身疾病的情况。同样,一些全身疾病也会在视网膜血管上有特征性的表现。随着相干光断层扫描(optic coherent tomography,OCT)及OCT血管造影(OCT angiography,OCTA)等检查手段的发展,对脉络膜血管的认识也不断加深,发现既往一些眼部疾病与脉络膜血管的变化有紧密联系,也揭示出其与全身病的关系。视网膜和脉络膜血管的特征性改变如视网膜血管直径、走行、视网膜神经纤维层缺损、视网膜脉络膜血管密度等可能作为系统性疾病的生物标志物,在疾病的发病机制、预警、诊断和治疗反应评估中发挥作用。

关键词: 视网膜血管, 脉络膜血管, 全身病, 预警体系, 生物标志物, 相干光断层扫描, OCT血管造影

Abstract:

Retinal vessels is the only blood vessel in the human vascular system that can be seen directly in vivo. Its morphological structure or function changes can directly or indirectly reflect the situation of some systemic diseases. Similarly, some systemic diseases also have characteristic manifestations in retinal vessels. With the rapid development of optical coherent tomography (OCT) and OCT angiography (OCTA), the understanding of choroidal vessels has been enchanced. It has been found that some eye diseases are closely related to the changes of choroidal vessels, and the relationship between them and the systemic diseases has also been revealed. Characteristic changes of retinal and choroidal vessels such as retinal vessel diameters and tends, retinal nerve fiber layer defect, and the capillary density of retina and choroid may serve as biomarkers of systemic diseases and play a role in the pathogenesis, early warning, diagnosis and treatment response assessment of diseases.

Key words: retinal vessels, choroidal vessels, systemic diseases, early warning system, biomarkers, optical coherent tomography, OCT angiography