眼科学报2025，Vol.40Issue(6)：464-470,7.DOI:10.12419/24102104
中心性浆液性脉络膜视网膜病变的SS-OCT及SS-OCTA的应用及研究进展
Application and progress of swept source optical coherence tomography in choroid-related diseases
摘要
Abstract
Central serous chorioretinopathy(CSC)is one of the choroidal spectrum diseases,characterized by choriod thickening and increased vascular permeability.Therefore it is very important to observe choroid,as this allows us to monitor it and formulate an appropriate therapeutic schedule.With the development of optical coherence tomography(OCT),our understanding of choroid has been significantly improved.We have got a deeper insight into its important role in posterior diseases,and also the diagnostic capability for choroidal and retinal diseases has also improved.In recent years,the development of swept source optical coherence tomography(SS-OCT)and swept source optical coherence tomography angiogrphy(SS-OCTA)has further advanced our ability to assess choroidal conditions.These technologies offer enhanced scanning wavelengths,depth,breadth,and scanning speed,enabling non-invasive quantitative assessment of choroidal structures.This has advanced our understanding of the pathophysiological mechanisms and clinical management of CSC and other choroidal spectrum diseases.This review summarizes the application of swept source optical coherence tomography(SS-OCT)and swept source optical coherence tomography angiography(SS-OCTA)in CSC and its research progress.The main advancements include:choroidal thickening in CSC is not limited to macular area,both choroidal vascular and stromal components are significantly increased;CSC can affect both eyes,although it often presents with unilateral symptoms;impaired vortex vein outflow plays a key role in the pathogenesis of this disease;SS-OCT can further monitor and analyze subretinal fluid accumulation in the posterior pole;differences in changes in choroidal parameters between acute and chronic CSC have been identified;and finally,the potential role of scleral mechanisms in this disease have been explored.关键词
扫频源相干光断层扫描/脉络膜疾病/增强深部成像/人工智能/超广域SS-OCTKey words
swept source optical coherence tomography/choroid-related diseases/enhanced depth imaging/artificial intelligence/ultra-widefield SS-OCT分类
医药卫生引用本文复制引用
李霁云,曾仁攀..中心性浆液性脉络膜视网膜病变的SS-OCT及SS-OCTA的应用及研究进展[J].眼科学报,2025,40(6):464-470,7.基金项目
武警部队创新研究项目(ZZKY20222405).This work was supported by Innovation Research Project of the Armed Police Force(ZZKY20222405). （ZZKY20222405）
