The image characteristics of optical coherence tomography in patients of acquired immunodeficiency syndrome with cytomegalovirus retinitis
10.3760/cma.j.issn.1005-1015.2020.01.002
- VernacularTitle:获得性免疫缺陷综合征合并巨细胞病毒性视网膜炎患眼光相干断层扫描图像特征
- Author:
Shengnan WANG
1
;
Huiyu SUN
;
Feifei MAO
;
Dan LI
;
Dan LU
Author Information
1. 首都医科大学附属北京地坛医院眼科 100015
- Keywords:
Acquired immunodeficiency syndrome/complications;
Cytomegalovirus retinitis/diagnosis;
Tomography,optical coherence
- From:
Chinese Journal of Ocular Fundus Diseases
2020;36(1):5-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the image characteristics of OCT in patients of acquired immunodeficiency syndrome (AIDS) with cytomegalovirus retinitis (CMVR).Methods Thirty-nine eyes of 26 patients of AIDS with CMVR diagnosed in Department of ophthalmology of Beijing Ditan Hospital Capital Medical University from January 2015 to December 2017 were included in this study.All the patients were males,with the mean age of 33.12± 9.87 years.All the patients underwent the OCT examination by Spectralis HRA+OCT.The locations of scanning were macular,optical papilla and posterior pole of retina with retinitis.Typical images were saved and analyzed.Results The OCT pathological changes of CMVR included increase of retinal thickness and reflex of retina,indiscernible retinal layers,irregularity or absent external limiting membrane and/or ellipsoid zone,hyperreflective spots,vitreous cells.Among 39 eyes,there were 6 eyes with strong point-like reflection in the outer layer of retina around the lesion,31 eyes (79.49％) with strong point-like reflection in the full layer of retina,25 eyes (64.10％) with lesion involved macular area,34 eyes (87.17％) with vitreous cells.Conclusions OCT images of the eyes with AIDS with CMVR were characterized by lesions involving the whole retina.Absent ellipsoid zone or structural changes can be seen in the affected areas and peripheral areas of the lesion.
