3D MRI和SS-OCT/OCTA在评估近视牵拉性黄斑病变后巩膜收缩的应用。

IF 2.6 3区 医学 Q2 OPHTHALMOLOGY
Danyang Yu, Di Wu, Haoru Li, Hua Rong, Qing He, Xia Zhang, He Xu, Mengdi Chai, Yifan Zhou, Ruihua Wei
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引用次数: 0

摘要

目的:通过三维磁共振成像(3D MRI)、扫源光学相干断层扫描(SS-OCT)和扫源光学相干断层扫描血管造影(SS-OCTA)评价巩膜后收缩术(PSC)治疗近视牵引性黄斑病变(MTM)的临床疗效和安全性。方法:对25例MTM患者30眼进行PSC治疗。分别于术前、3D MRI及SS-OCT/OCTA术后1个月、6个月、1年测量患者眼部参数。结果:眼轴长度(AL)、球形当量(SE)、最佳矫正视力(BCVA)、视网膜裂面积、后葡萄肿总高度(PSH)、玻璃体体积等术前、术后参数差异均有统计学意义(P < 0.001)。PSC术后各扇区脉络膜厚度(CT)、中央凹下和颞扇区脉络膜灌注面积(CPA)、下、颞扇区脉络膜血管指数(CVI)均显著升高(P < 0.05)。此外,3D MRI显示手术条带在随访期间保持坚固稳定,无条带移位、骨折和松动等并发症。结论:应用3D MRI和SS-OCT/OCTA评价PSC治疗MTM的效果全面,多眼参数,可进一步指导MTM的临床诊断和治疗。翻译相关性:我们将SS-OCT/OCTA与3D MRI相结合,为指导MTM的临床诊断和治疗提供理论依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of 3D MRI and SS-OCT/OCTA in Assessment of Posterior Scleral Contraction for Myopic Traction Maculopathy.

Purpose: To evaluate the clinical efficacy and safety of posterior scleral contraction (PSC) in the treatment of myopic traction maculopathy (MTM) by three-dimensional magnetic resonance imaging (3D MRI), swept-source optical coherence tomography (SS-OCT) and swept-source optical coherence tomography angiography (SS-OCTA).

Methods: In this prospective study, 30 eyes of 25 patients with MTM were treated with PSC. The ocular parameters of the patients were measured before surgery and at 1 month, 6 months, and 1 year after 3D MRI and SS-OCT/OCTA.

Results: The differences in preoperative and postoperative parameters, including axial length (AL), spherical equivalent (SE), best-corrected visual acuity (BCVA), retinoschisis area, total posterior staphyloma height (PSH), and vitreous volume were statistically significant (P < 0.001). The choroidal thickness (CT) in each sector, choroidal perfusion area (CPA) in subfoveal and temporal sectors, and choroidal vascularity index (CVI) in inferior and temporal sectors increased significantly after PSC surgery (P < 0.05). Additionally, 3D MRI showed that the surgical strips remained strong and stable during the follow-up period, without complications such as strip displacement, fracture, and loosening.

Conclusions: The application of 3D MRI and SS-OCT/OCTA in assessment of the treatment of MTM with PSC was comprehensive with multiple ocular parameters and could further guide the clinical diagnosis and treatment of MTM.

Translational relevance: We combined SS-OCT/OCTA and 3D MRI to provide the basis of a theory for guiding the clinical diagnosis and treatment of MTM.

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来源期刊
Translational Vision Science & Technology
Translational Vision Science & Technology Engineering-Biomedical Engineering
CiteScore
5.70
自引率
3.30%
发文量
346
审稿时长
25 weeks
期刊介绍: Translational Vision Science & Technology (TVST), an official journal of the Association for Research in Vision and Ophthalmology (ARVO), an international organization whose purpose is to advance research worldwide into understanding the visual system and preventing, treating and curing its disorders, is an online, open access, peer-reviewed journal emphasizing multidisciplinary research that bridges the gap between basic research and clinical care. A highly qualified and diverse group of Associate Editors and Editorial Board Members is led by Editor-in-Chief Marco Zarbin, MD, PhD, FARVO. The journal covers a broad spectrum of work, including but not limited to: Applications of stem cell technology for regenerative medicine, Development of new animal models of human diseases, Tissue bioengineering, Chemical engineering to improve virus-based gene delivery, Nanotechnology for drug delivery, Design and synthesis of artificial extracellular matrices, Development of a true microsurgical operating environment, Refining data analysis algorithms to improve in vivo imaging technology, Results of Phase 1 clinical trials, Reverse translational ("bedside to bench") research. TVST seeks manuscripts from scientists and clinicians with diverse backgrounds ranging from basic chemistry to ophthalmic surgery that will advance or change the way we understand and/or treat vision-threatening diseases. TVST encourages the use of color, multimedia, hyperlinks, program code and other digital enhancements.
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