摘要目的 对比观察共焦激光扫描检眼镜(cSLO)和眼底彩色照相对常见视网膜和脉络膜病变的检出情况.方法 临床检查确诊的眼底病患者67例90只眼纳入研究.其中,男性35例51只眼,女性32例39只眼;平均年龄51.32岁.均行眼底彩色照相、cSLO、频域光相干断层扫描(SD-OCT)检查.对比观察眼底彩色照相和cSLO眼底成像对微血管瘤、视网膜出血、硬性渗出、棉绒斑、视网膜前膜、黄斑裂孔等常见视网膜病变的检出数;脉络膜病变检出与SD-OCT病变检出的符合率.结果 cSLO眼底成像对微血管瘤(x2 =4.157)和视网膜前膜(x2=5.428)的检出数均显著高于眼底彩色照相,差异有统计学意义(P＜0.05);棉绒斑(x2 =0.523)、视网膜出血(x2=0.117)、硬性渗出(x2=0.325)、黄斑裂孔(x2=0.070)检出数比较,差异无统计学意义(P＞0.05).cSLO眼底成像脉络膜病变检出与SD-OCT病变检出符合率显著高于眼底彩色照相,差异有统计学意义(x2=9.143,P=0.007).结论 与cSLO眼底彩色照相比较,cSLO眼底成像对视网膜病变和脉络膜病变检出更高.

abstractsObjective To cpmpare the assessment of retinal and choroidal disease using confocal scanning laser ophthalmoscope (cSLO) imaging and color fundus camera.Methods Sixty-seven patients (90 eyes) with fundus diseases were included in this study.There were 35 males (51 eyes) and 32 female (39 eyes),mean age was 51.32 years.All subjects underwent fundus imaging using cSLO technology and traditional color fundus camera,positive numbers of every retinal pathological change were calculated and compared.Spectral domain-optical coherence tomography (SD-OCT) was also done to compare the accordance rate between two modes of fundus imaging (cSLO technology and traditional color fundus camera) and SD-OCT in choroidal changes.Results The positive numbers of retinal microaneurysm (x2 =4.157,P＜ 0.05) and epiretinal membrane (x2 =5.428,P ＜ 0.05) using cSLO fundus imaging were significantly higher than traditional color fundus camera,while the positive numbers of cotton wool spots (x2 =0.523),retinal hemorrhage (x2 =0.117),hard exudates (x2 =0.325) and macular hole (x2 =0.070)were no significant different (P＞ 0.05).The SD-OCT accordance rate of choroidal pathological changes using cSLO technology was higher than traditional color fundus camera (x2 =9.143,P=0.007).Conclusion In retinal and choroidal diseases,the imaging quality of cSLO fundus imaging technology is better than the traditional color fundus camera technology.