慢性中心性浆液性脉络膜视网膜病变和卵黄样营养不良成年患者鉴别诊断的预测因素
- 作者: Matcko N.V.1,2, Gatsu M.V.1,2
-
隶属关系:
- S.N. Fedorov National Medical Research Center “MNTK “Eye Microsurgery”
- I.I. Mechnikov North-Western State Medical University
- 期: 卷 14, 编号 1 (2021)
- 页面: 51-61
- 栏目: Original researches
- ##submission.dateSubmitted##: 30.03.2021
- ##submission.dateAccepted##: 15.04.2021
- ##submission.datePublished##: 09.06.2021
- URL: https://journals.eco-vector.com/ov/article/view/64310
- DOI: https://doi.org/10.17816/OV64310
- ID: 64310
如何引用文章
详细
研究目的: 研究诊断预测因素,以优化成年患者发生慢性中心性浆液性脉络膜视网膜病变(CSCR)和卵黄样营养不良(VD)的鉴别诊断。在多模态诊断的基础上,确定成人患者慢性CSCR和VD特征最具有参考价值的临床诊断标准,评估其预后。
材料和方法: 该研究包括61名患有长期神经上皮脱落(ND)的患者(90只眼睛)。收集了所有患者的病史和家族史并进行了全面的常规检查:视力测定与最佳矫正视力(BCVA),裂隙灯显微镜和眼底照相,视网膜光学相干断层扫描(OCT)和血管成像(OCT-A),短波自体荧光(SW-AF),视网膜荧光血管造影(FAG),吲哚菁绿色视网膜血管成像(ICGA)。将患者分为2组:VD患者30名(30只眼睛), 慢性CSCR患者31名(31只眼睛)。对所进行的各类检查标准进行了研究,并使用ROC分析评估其预 后价值。
结果: 诊断成人VD最具有参考价值的非侵入性预测因素被定义为:该病的阳性家族史、高荧光(HAF)的亮度和梯度、特征性的«半月形»和«珠状»高荧光、存在大量视网膜下沉积和«钟乳石»沉积。诊断慢性CSCR最具有参考价值的非侵入性预测因素是:主要病灶以外的额外低AF或高AF点,又或是主病灶外的区域,神经上皮的高反射点和脉络膜厚度增加,«双层»症状,脉络膜新生血管的 存在。两组预后价值最高的是对SW-AF的研究。
结论: 获得的结果可以优化VD和慢性CSCR的鉴别诊断。
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作者简介
Nataliia Matcko
S.N. Fedorov National Medical Research Center “MNTK “Eye Microsurgery”; I.I. Mechnikov North-Western State Medical University
编辑信件的主要联系方式.
Email: matsko.natalia@mail.ru
ORCID iD: 0000-0001-8909-9999
SPIN 代码: 9790-4066
PhD Student
俄罗斯联邦, 41 Kirochnaya str., Saint Petersburg, 191015; Saint PetersburgMarina Gatsu
S.N. Fedorov National Medical Research Center “MNTK “Eye Microsurgery”; I.I. Mechnikov North-Western State Medical University
Email: m-gatsu@yandex.ru
ORCID iD: 0000-0002-9357-5801
Dr. Sci. (Med.), professor
俄罗斯联邦, 41 Kirochnaya str., Saint Petersburg, 191015; Saint Petersburg参考
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