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光學同調斷層掃描儀(Stratus OCT)在眼科的臨床應用

The Clinical Applications of Stratus Optical Coherence Tomographer in Ophthalmology

摘要


目的:探討光學同調斷層掃描儀(Stratus OCT)在眼科的臨床應用與病例報告。
方法:使用Stratus OCT檢查黃斑部疾病與青光眼病患,並以十例病例報告討論其臨床應用的範圍與限制。
結果:報告Stratus OCT檢查的案例,包括正常案例以及中心漿液性脈絡膜視網膜病變、黃斑部裂孔、上網膜纖維膜、黃斑部小凹剝離與玻璃體牽引、年齡相關性黃斑部退化、青光眼等病例。
結論:光學同調斷層掃描儀的高解析度組織影像與視網膜厚度檢查,有助於了解視網膜黃斑部病變的構造變化與診斷,網膜神經纖維層厚度與視神經頭凹陷及視神經盤比例測量,亦有助於青光眼病患的追蹤評估。

關鍵字

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並列摘要


Purpose: To introduce Stratus optical coherence tomographer (OCT) and report the clinical applications in ocular disorders.
Method: Stratus OCT was applied on patients with macular disorders or glaucoma. Ten cases were demonstrated and the capability and limitation of Stratus OCT in clinical applications were discussed.
Results: One normal case and nine cases with following pathologies respectively were demonstrated: central serous chorioretinopathy, macular hole, epiretinal membrane, foveal detachment with hyaloidal traction, age-related macular degeneration and open angle glaucoma, etc..
Conclusion: The high resolution cross-sectional image of the retina and the measurement of retinal thickness obtained by Stratus OCT are powerful in evaluating and monitoring macular disorders. The measurements of retinal nerve fiber layer thickness and cup/disc ratio with Stratus OCT is also helpful in the clinical assessment of glaucoma.

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