国际眼科杂志Issue(10)：1817-1819,3.DOI:10.3980/j.issn.1672-5123.2015.10.41
OCT联合眼部B超对白内障术前眼底检查价值评估
Evaluation of optical coherence tomography combined with ophthalmic B-type ultrasound in fundus examination before cataract surgeries
刘担 1陶玉林 1陶黎明2
作者信息
- 1. 230022 中国安徽省合肥市，安徽医科大学研究生学院
- 2. 230601 中国安徽省合肥市，安徽医科大学第二附属医院眼科
- 折叠
摘要
Abstract
AIM: To investigate the clinical value of optical coherence tomography ( OCT ) combined with ophthalmic B- type ultrasound in fundus examination before cataract surgeries. <br> METHODS:Conventional ophthalmoscope, ophthalmic B-type ultrasound and OCT were used to exam the fundus of 176 cataract patients (278 eyes). The positive rate of fundus diseases by the three methods was calculated, and then McNemar test was used to analyze the data in pairs and the values of the three methods on diagnosis of fundus diseases were investigated. <br> RESULTS:Thirty-two eyes were diagnosed with fundus diseases by conventional ophthalmoscope with positive rate of 11. 5%, 18 eyes ( 6. 5%) by ophthalmic B-type ultrasound, 6 eyes (2. 2%) of those 18 eyes were serious lens turbidity. Fifty-one eyes (18. 3%) were diagnosed with fundus diseases by OCT and 57 eyes ( 20. 5%) by OCT combined with ophthalmic B-type ultrasound. The positive rate of fundus disease detected by OCT had significant difference at the level of α= 0. 05 compared with those by ophthalmic B - type ultrasound, conventional ophthalmoscope and OCT combined with ophthalmic B-type ultrasound. <br> CONCLUSION: OCT is more valuable and more sensitive on detecting macular diseases than the other two. However, the structure of retinal layer of the patients who had serious lens turbidity cannot be observed, which can be remedied by ophthalmic B-type ultrasound. The examination of OCT combined with ophthalmic B-type ultrasound is the most valuable one on accurate and early diagnosis of fundus diseases and the prediction of the visual acuity after surgeries.关键词
白内障/光学相干断层/眼部B超/常规检眼镜/术前检查Key words
cataract/optical coherence tomography/ophthalmic B - type ultrasound/conventional ophthalmoscope/preoperative examination引用本文复制引用
刘担,陶玉林,陶黎明..OCT联合眼部B超对白内障术前眼底检查价值评估[J].国际眼科杂志,2015,(10):1817-1819,3.
