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[摘要]
目的：探讨糖尿病性黄斑水肿FFA与OCT的应用及其相互关系。
方法：对70例135眼糖尿病性黄斑水肿患者行中心视力、最佳矫正视力、眼压、直接检眼镜、裂隙灯显微镜联合+90D前置镜散瞳眼底检查、散瞳眼底彩色照相、相干光断层扫描(OCT)、荧光素眼底血管造影(FFA)检查，并将相干光断层扫描和荧光素眼底血管造影结果比较分析。
结果：轻度水肿时，FFA表现异常56眼，OCT表现异常68眼(P=0.0009)； FFA表现正常12眼中，其OCT检查有10眼为海绵样改变； FFA表现为囊样型的，其OCT表现为囊样型占46.7%。
结论：FFA，OCT联合应用于诊断糖尿病性黄斑水肿，而OCT作为临床随访DME是必不可少的检查手段，早期应用有优势。
[Key word]
[Abstract]
AIM: To assess the correlation between the features of optical coherencetomography(OCT)and fundus fluorescein angiography(FFA)in diabetic macular edema(DEM).
METHODS: Totally 70 patients(135 eyes)with diabetic retinopathy(DR)were evaluated by central vision, best corrected visual acuity(BCVA), intraocular pressure, indirect ophthalmoscopy, slit lamp microscope combined +90D front mirror mydriatic fundus examination, mydriatic fundus color photography, OCT, FFA, the correlation between FFA and OCT were analyzed.
RESULTS: In mild macular oedema cases, abnormalities in FFA was 56 eyes, abnormalities in OCT was 68 eyes(P=0.0009); FFA showed 12 normal eyes, 10 eyes in OCT were characterized by diffused macular oedema; FFA was performed with cystoid macular oedema, OCT was 46.7% with cystoid type.
CONCLUSION: DME is diagnosed by Combination FFA with OCT, OCT is an indispensable tool when following up DME, and it has advantage in early application.
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