专家建议与推荐
ENGLISH ABSTRACT
断层扫描成像技术在晶状体外伤诊疗中的新认识及研究新方向
徐雯
王耿
王勇
李学民
张广斌
竺向佳
金海鹰
罗莉霞
范玮
赵云娥
赵江月
俞阿勇
郭海科
鲍永珍
蒋永祥
施策
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20240531-00140
New insights and research directions of tomographic imaging technology in the diagnosis and treatment of lens trauma
Xu Wen
Wang Geng
Wang Yong
Li Xuemin
Zhang Guangbin
Zhu Xiangjia
Jin Haiying
Luo Lixia
Fan Wei
Zhao Yune
Zhao Jiangyue
Yu Ayong
Guo Haike
Bao Yongzhen
Jiang Yongxiang
Shi Ce
Authors Info & Affiliations
Xu Wen
Eye Center, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
Wang Geng
Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China
Wang Yong
Aier Eye Hospital Affiliated to Wuhan University, Wuhan 430064, China
Li Xuemin
Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, China
Zhang Guangbin
Xiamen Eye Center Affiliated to Xiamen University, Xiamen 361004, China
Zhu Xiangjia
Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China
Jin Haiying
Department of Ophthalmology, Shanghai East Hospital, Shanghai 200120, China
Luo Lixia
Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060
Fan Wei
Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, China
Zhao Yune
Hangzhou Branch, Eye Hospital of Wenzhou Medical University, Hangzhou 310020, China
Zhao Jiangyue
Department of Ophthalmology, The Fourth Affiliated Hospital of China Medical University, Shenyang 110005, China
Yu Ayong
Eye Hospial of Wenzhou Medical University, Wenzhou 325027, China
Guo Haike
Shanghai Peace Eye Hospital, Shanghai 200437, China
Bao Yongzhen
Department of Ophthalmology, Peking University People's Hospital, Beijing 100044, China
Jiang Yongxiang
Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China
Shi Ce
Eye Center, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
·
DOI: 10.3760/cma.j.cn115989-20240531-00140
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摘要

晶状体外伤是眼外伤发生后造成视觉功能下降的重要原因。目前,晶状体外伤仍缺乏明确的分类标准和细致全面的检测手段,诊断和术前评估、手术时机的选择、手术的决策和术后预后判断等重要诊疗环节上尚存诸多争议和挑战。计算机断层扫描、核磁共振成像、光学相干断层扫描等断层扫描成像类技术为晶状体外伤的评估提供了新的观察维度,在晶状体外伤中对晶状体透明度、质地、位置、形态、完整性以及悬韧带和邻近其他眼内结构的观察和评估起到了重要作用。然而,受限于单一技术的局限性,断层扫描成像技术在该类疾病中的应用仍存在一定限制。随着未来影像技术的迭代和人工智能大数据相关技术的快速发展,断层扫描成像类技术将日益在晶状体外伤诊疗过程中担当不可或缺的重要角色。本专家组就晶状体外伤的流行病学特点及分类、目前晶状体外伤诊疗面临的主要挑战进行回顾,主要围绕目前断层扫描成像技术在晶状体外伤诊疗中的具体应用、不足与局限及未来发展方向等提出专家推荐意见。

ABSTRACT

Lens injury is an important etiological factor in the reduction of visual function following ocular trauma.Currently, there are no clear standards for the classification of lens injury, and comprehensive diagnostic tools are lacking.This deficiency leads to numerous controversies and challenges in critical areas, such as diagnosis and preoperative evalution, timing of surgery, surgical strategy, and assessment of postoperative prognosis.Tomographic imaging technology, such as computed tomography, magnetic resonance imaging, optical coherence tomography, has introduced a new dimension to the evaluation of lens injury, which is crucial for assessing the transparency, texture, location, morphology, and integrity of the lens, as well as the zonules and nearby intraocular structures.However, the use of tomographic imaging technology is somewhat limited due to the limitations of relying on a single method.With the ongoing advancement of imaging technologies and the rapid development of big data and artificial intelligence, tomographic imaging will become an increasingly essential tool in the future management of lens injury.Our expert group reviewed the epidemiological characteristics and classification of lens injury and the major challenges currently faced in the diagnosis and treatment of lens injury, and provided expert recommendations mainly focusing on the application, shortcomings and limitations of current tomographic imaging technology in the diagnosis and treatment of lens injury, and future development directions.

Xu Wen, Email: nc.defudabe.ujz3002newux
引用本文

徐雯,王耿,王勇,等. 断层扫描成像技术在晶状体外伤诊疗中的新认识及研究新方向[J]. 中华实验眼科杂志,2025,43(03):204-210.

DOI:10.3760/cma.j.cn115989-20240531-00140

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晶状体是眼部重要的屈光结构,也是唯一有调节能力的屈光间质,其透明性、完整性以及正常的位置是维持其正常功能的关键。晶状体拥有平均厚度仅为7 μm的囊膜 [ 1 ]、直径5~30 μm的悬韧带透明束 [ 2 ]、致密分布且透明的晶状体上皮细胞和晶状体纤维,这些眼部组织在遭受各种原因的外力损伤时极易受到损伤。一旦晶状体外伤引起晶状体透明度改变、位置异常、形态变化或者完整性破坏,视功能将会受到较大影响。目前,晶状体外伤仍缺乏明确的分类标准和细致全面的检测手段,诊断和术前评估、手术时机的选择、手术的决策和术后预后判断等重要诊疗环节上尚存诸多争议和挑战。断层扫描成像类技术为晶状体外伤的评估提供了新的观察维度,本专家组就晶状体外伤的流行病学特点及分类、目前晶状体外伤诊疗面临的主要挑战进行回顾,主要围绕目前断层扫描成像技术在晶状体外伤诊疗中的具体应用、不足与局限及未来发展方向等提出专家推荐意见。
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徐雯,Email: nc.defudabe.ujz3002newux
B
所有作者均声明不存在利益冲突
C
浙江省科技厅领雁计划 (2023C03090)
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