眼科 ›› 2023, Vol. 32 ›› Issue (1): 1-5.doi: 10.13281/j.cnki.issn.1004-4469.2023.01.001

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如何运用OCTA助力青光眼诊治

吴玲玲   

  1. 北京大学第三医院  北京大学眼科中心 100191 
  • 收稿日期:2022-12-06 出版日期:2023-01-25 发布日期:2023-02-04
  • 通讯作者: Email: wullc@hotmail.com

How to use OCTA to help the diagnosis and treatment of glaucoma

Wu Lingling   

  1. Department of Ophthalmology, Peking University Third Hospital; Peking University Eye Center, Beijing 100191, China
  • Received:2022-12-06 Online:2023-01-25 Published:2023-02-04
  • Contact: Email: wullc@hotmail.com

摘要:  相干光断层扫描血管成像术(optical coherence tomography angiography,OCTA)扫描速度快、分辨率高,可定量检测眼底微小血管的血流,且在检测视盘周围和黄斑区的血流方面可重复性较好,显示了诊断和监测青光眼的潜能,起到补充结构OCT和视野检查的作用。本文评论了OCTA用于青光眼的主要检测指标(视盘及其周围的浅层微血管密度、黄斑区浅层血管密度以及视盘旁深层微血管缺失),相较于结构OCT和视野检查OCTA检测青光眼的能力和特点,以及如何合理应用OCTA检测青光眼的思考等。(眼科, 2023,32: 1-5)

关键词: 相干光断层扫描血管成像术, 青光眼, 血管密度

Abstract: The progress of optical coherence tomography angiography (OCTA ) in recent years makes it possible to quantitatively detect the blood flow of fundus microvessels due to its fast scanning speed and high resolution, and has good repeatability in detecting the blood flow around the optic disc and in the macular region, which shows the potential ability to diagnose and monitor glaucoma as a supplement of structural OCT and perimeter. In this manuscript, the following issues were discussed: (1) The main detection parameters of OCTA for glaucoma, including the superficial peripapillary vessel density, the superficial vessel density of the macular region, and the choroidal or deep-layer microvasculature dropout (CMvD); (2) The ability and characteristics of OCTA in detecting glaucoma compared with structural OCT and perimeter; (3) How to use OCTA to detect glaucoma. (Ophthalmol CHN, 2023, 32: 1-5)


Key words: optical coherence tomography angiography, glaucoma, vessel density