山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (1): 119-122.doi: 10.6040/j.issn.1673-3770.0.2016.451

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光学相干断层扫描技术在非动脉炎性前部缺血性视神经病变中的诊断现状

焦芮1,韩克阳1,王淑雅2综述, 赵博军3审校   

  1. 1.山东中医药大学第二临床医学院, 山东 济南 250001;
    2.山东中医药大学附属眼科医院, 山东 济南 250003;
    3.山东大学附属省立医院眼科中心, 山东 济南 250021
  • 收稿日期:2016-10-30 出版日期:2017-02-16 发布日期:2017-02-16
  • 通讯作者: 赵博军. E-mail:zhaobojun@hotmail.com
  • 基金资助:
    山东省自然科学基金(ZR2015HM026)

The situation of optical coherence tomography in the diagnosis of non-arteritic anterior ischemic optic neuropathy.

  1. The Second School of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250001, Shandong, China;2. Ophthalmic Hospital Affiliated to Shandong University of Traditional Chinese Medicine, Jinan 250003, Shandong, China;3. Ophthalmic Center, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Received:2016-10-30 Online:2017-02-16 Published:2017-02-16

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摘要： 非动脉炎性前部缺血性视神经病变(NA-AION)是一种中老年人常见急性致盲性眼病,临床表现为晨起或短暂休息后突发性的视力下降或视野缺损,视野缺损通常与生理盲点相连。目前,眼底和视野检查、荧光素眼底血管造影、视觉诱发电位是NA-AION常用的辅助检查手段。近年来,光学相干断层扫描技术(OCT)因具有无创、安全性高、分辨率高、扫描速度快、可三维重建和分层分析的特点已广泛用于NA-AION的诊疗中。本研究主要对OCT在NA-AION中的诊断现状及临床意义进行综述。

关键词: 视神经纤维层, 黄斑, 非动脉炎性前部缺血性视神经病变, 脉络膜, 光学相干断层扫描技术

Abstract: Non-arteritic anterior ischemic optic neuropathy(NA-AION)is a common disease which caused blindness among the middle-aged and old people. The clinical manifestations of NA-AION include sudden blurred vision or defect of visual field which often happens in the early morning or after short break, and the defect of visual field usually connects to physiological blind spots. At present, the examinations of fundus and visual field, fundus fluorescein angiography(FFA)and visual evoked potential(VEP)are helpful in the diagnosis of NA-AION. In recent years, optical coherence tomography(OCT)has been widely used in the diagnosis and treatment of NA-AION due to its characteristics of non-invasiveness, higher safety and resolution, rapid scanning, three-dimensional reconstruction and stratification analysis. In this article, the diagnostic situation and clinical significance of OCT in NA-AION was reviewed.

Key words: Non-arteritic anterior ischemic optic neuropathy, Macula lutea, Retinal nerve fiber layer, Choroid, Optical coherence tomography

中图分类号: 

  • R774.6
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