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SS-OCTA评估增殖性糖尿病视网膜病变玻璃体切除术后黄斑微血管的变化
引用本文:纪风涛,王慧,魏科,李永蓉,戴维,王志敏,廖荣丰.SS-OCTA评估增殖性糖尿病视网膜病变玻璃体切除术后黄斑微血管的变化[J].国际眼科杂志,2023,23(5):747-753.
作者姓名:纪风涛  王慧  魏科  李永蓉  戴维  王志敏  廖荣丰
作者单位:中国安徽省合肥市,安徽医科大学第一附属医院眼科; 中国安徽省合肥市第二人民医院 安徽医科大学附属合肥医院,中国安徽省合肥市第二人民医院 安徽医科大学附属合肥医院,中国安徽省合肥市第二人民医院 安徽医科大学附属合肥医院,中国安徽省合肥市第二人民医院 安徽医科大学附属合肥医院,中国安徽省合肥市第二人民医院 安徽医科大学附属合肥医院,中国安徽省合肥市第二人民医院 安徽医科大学附属合肥医院,中国安徽省合肥市,安徽医科大学第一附属医院眼科
基金项目:合肥市卫生健康应用医学研究项目(No.Hwk2022zd008)
摘    要:目的:探讨增殖性糖尿病视网膜病变(PDR)经扁平部玻璃体切除(PPV)术后黄斑区视网膜、脉络膜血流的变化。方法:横断面研究。选取2020-09/2022-07在合肥市第二人民医院眼科诊断为单眼PDR并接受23G PPV手术治疗的患者35例35眼,所有患者均行扫频源光学相干断层扫描血管造影(SS-OCTA)检查,采用系统内置分析软件测量黄斑区3mm×3mm范围内视网膜、脉络膜血流参数,并分析其与术后最佳矫正视力(BCVA)的相关性。结果:术后随访1~22(平均9.72±6.67)mo,末次随访时,纳入患者PPV术眼鼻侧旁中心凹区域中层毛细血管层(ICP)灌注面积(FA)(0.31±0.06mm2)较对侧眼(0.38±0.05mm2)明显减少,颞侧旁中心凹区域深层毛细血管层(DCP)FA(0.19±0.08mm2)较对侧眼(0.27±0.07mm2)明显减少(均P<0.05),除颞侧旁中心凹区域,PPV术眼其他旁中心凹区域脉络膜血管指数(CVI)均较对侧眼显著降低(P<0.05)。PPV术眼...

关 键 词:增殖性糖尿病视网膜病变  扫频源光学相干断层扫描血管造影(SS-OCTA)  经扁平部玻璃体切除术  灌注面积  血管密度  脉络膜血管指数
收稿时间:2022/10/24 0:00:00
修稿时间:2023/4/13 0:00:00

Evaluation of macular microvasculature alterations in patients with proliferative diabetic retinopathy after vitrectomy by swept-source optical coherence tomography angiography
Feng-Tao Ji,Hui Wang,Ke Wei,Yong-Rong Li,Wei Dai,Zhi-Min Wang and Rong-Feng Liao.Evaluation of macular microvasculature alterations in patients with proliferative diabetic retinopathy after vitrectomy by swept-source optical coherence tomography angiography[J].International Journal of Ophthalmology,2023,23(5):747-753.
Authors:Feng-Tao Ji  Hui Wang  Ke Wei  Yong-Rong Li  Wei Dai  Zhi-Min Wang and Rong-Feng Liao
Institution:Department of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China; the Second People''s Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, China,the Second People''s Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, China,the Second People''s Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, China,the Second People''s Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, China,the Second People''s Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, China,the Second People''s Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, China and Department of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Abstract:
Keywords:proliferative diabetic retinopathy  swept-source optical coherence tomography angiography(SS-OCTA)  pars plana vitrectomy  flow area  vascular density  choroidal vascular index
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