光学相干断层扫描在中间葡萄膜炎性黄斑病变中的诊断应用

目的 探讨光学相干断层扫描（OCT）图像在中间葡萄膜炎黄斑病变中的诊断应用。方法 用OCT检测中间葡萄膜炎合并黄斑病变患者17例33只眼并进行资料分析。结果 11例22只眼呈现程度不同的黄斑囊样水肿（CME）特征；3只眼可见黄斑区视网膜前膜增生，同时合并神经上皮层增厚及CME病变；2只眼出现黄斑裂孔；6只眼黄斑区可见玻璃体部分后脱离，并能清晰地显示出玻璃体对视网膜的细小牵引。结论 OCT能客观、精确、有效、方便地对中间葡萄膜炎黄斑病变进行类似病理学的检查。

The application of optical coherence tomography in the diagnosis of intermediate uveitis

Objective To study the clinical application of optical coherence tomography(OCT) in the macular disease associated with intermediate uveitis. Methods In this study, 33 eyes of 17 cases with pathological changes in macula associated with intermediate uveitis were examined by the way of OCT. Results (1) 22 eyes (11 cases) showed the characteristics of cystyid macular edema(CME). Intraretinal separation could be seen due to vesiculas of different size(66. 7%). (2) Marked neurosensory retina thickness and secondory premacular membrane and intraretinal fluid could be seen in 3 eyes. (3) Full-thickness macular hole was observed in one eye, while another eye with a lamellar hole. (4) The posterior hyaloid membrane was separated from the retina and the minute traction could be seen in 6 eyes. Conclusion OCT can display the macular pathologic changes in intermediate uveitis effectively.