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OCTA 在原发性开角型青光眼眼底微循环改变中的应用现状①

【来源：《华夏医学》编辑部 | 作者：华夏医学编辑部 | 编辑：李佳睿 | 发布日期：2022-10-11】

OCTA在原发性开角型青光眼眼底微循环改变中的应用现状

刘晓辉秦程

桂林医学院第二附属医院眼科

摘要：原发性开角型青光眼（POAG）是青光眼的常见类型，其发病隐匿、早期症状不明显，患者就诊时往往已经进展到晚期，对视力损害极大。视力下降、视野改变、视网膜神经纤维层厚度的改变等是POAG的主要诊断依据，早期缺乏有效的监测工具。近年来，OCTA技术以安全无创、无不良作用，能快速清晰实时成像为主要特点，已广泛应用于眼科临床，成为POAG早期监测眼底损害的全新手段，其也可用于评价疗效与随访。本文就OCTA在原发性开角型青光眼眼底微循环改变中的临床应用进行简要综述。

关键词：原发性开角型青光眼;光学相干断层扫描血管成像;微循环;

Application status of OCTA in the ocular fundus microcirculation changes in patients with primary open-angle glaucoma^①

LIU Xiaohui,Qin Cheng^②.(Dept. of Ophthalmology,the 2^ndAffiliated Hospital of Guilin Medical University,Guilin 541199,China)

Abstract Primary open-angle glaucoma(POAG)is a common type of glaucoma, whose onset is insidious and the early symptoms are not obvious. By the time the patient sees a doctor, it has generally progressed to the advanced stage, causing great visual impairment. Vision loss, visual field change, and changes in retinal nerve fiber layer thickness and the like are the main diagnostic criteria for POAG. However, there is a lack of effective monitoring tools for POAG patients in the early stage. The optical coherence tomography angiography(OCTA) technology, which has developed rapidly in recent years, is safe, non-invasive, with no side-effects, and it is fast and clear, and real-time imaging. It is widely used in ophthalmology clinics and has become a new method to monitor ocular fundus damage in the early stage for POAG patients. Authors in this article briefly review the clinical application of OCTA to the changes of fundus microcirculation in patients with POAG.

Keywords: primary open angle glaucoma(POAG); optical coherence tomography angiography(OCTA);microcirculation

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