[Optical Coherence Tomography - State of the Art, Case Examples and Future Perspectives].

IF 1.1 4区医学 Q4 OPHTHALMOLOGY

Klinische Monatsblatter fur Augenheilkunde Pub Date : 2026-06-11 DOI:10.1055/a-2831-9663

Carla Winter, Albrecht Peter Lommatzsch

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引用次数: 0

Abstract

Abstract: Optical coherence tomography (OCT) is an essential imaging modality in modern ophthalmology, enabling high-resolution visualization of retinal microstructures. Technological advances such as spectral-domain and swept-source OCT have significantly improved image quality and acquisition speed, establishing OCT as the current state of the art in retinal imaging.A structured approach to OCT interpretation is key and includes assessment of the vitreoretinal interface, intraretinal layers, outer retinal structures such as the ellipsoid zone, and the retinal pigment epithelium. Particular attention should be paid to fluid accumulation and structural alterations.OCT-based biomarkers play an important role in clinical decision-making. Exudative biomarkers, including intraretinal and subretinal fluid, may indicate disease activity, whereas degenerative features such as outer retinal tubulations or atrophic changes (iRORA/cRORA) reflect chronic structural damage.Emerging technologies, including OCT angiography and artificial intelligence-based analysis, further expand the diagnostic and prognostic potential of OCT.

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光学相干层析成像——技术现状、案例和未来展望。

光学相干断层扫描（OCT）是现代眼科的一种重要成像方式，可以实现视网膜显微结构的高分辨率可视化。光谱域和扫描源OCT等技术的进步显著提高了图像质量和采集速度，使OCT成为视网膜成像领域的最新技术。结构化的OCT解释方法是关键，包括评估玻璃体视网膜界面、视网膜内层、视网膜外结构（如椭球带）和视网膜色素上皮。应特别注意流体积聚和构造变化。基于oct的生物标志物在临床决策中发挥着重要作用。渗出性生物标志物，包括视网膜内和视网膜下液，可能表明疾病活动，而退行性特征，如视网膜外管或萎缩性变化（iRORA/cRORA）反映慢性结构损伤。新兴技术，包括OCT血管造影和基于人工智能的分析，进一步扩大了OCT的诊断和预后潜力。

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来源期刊

Klinische Monatsblatter fur Augenheilkunde 医学-眼科学

CiteScore

1.30

自引率

0.00%

发文量

235

审稿时长

4-8 weeks

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