充分发挥广角眼底影像检查诊断新技术的临床应用价值,不断提升眼底病诊断治疗水平

摘要

The hallmark of the recent latest advances in diagnostic fundus imaging technology is combination of complex hierarchical levels and depths,as well as wide-angle imaging,ultra-wide imaging.The clinical application of wide-angle and ultra-wide imaging,not only can reevaluate the role of the peripheral retina,the classification types and treatment modalities of central retinal vein occlusion,and enhance the reliability of diabetic retinopathy screening,improve the classification and therapeutic decision of diabetic retinopathy,and but also can help guide and improve laser photocoagulation.However we must clearly recognize that the dominant role of ophthalmologists in the diagnosis of ocular fundus diseases cannot be replaced by any advanced fundus imaging technology including wide-angle imaging.We emphasize to use the three factors of cognitive performance (technology,knowledge and thinking) to improve the diagnosis of ocular fundus diseases in China.%眼底影像检查诊断技术最新进展的标志性特征是成像层次与深度上分层与复合相结合以及成像角度向广角、超广角发展.其中,广角、超广角眼底检查诊断新技术的临床应用,不仅有助于重新认识了解周边视网膜的作用,加深视网膜中央静脉阻塞分型与治疗再认知,提升糖尿病视网膜病变筛查可靠性、改进分型诊断与治疗决策,而且还有利于指导和改进激光光凝治疗方式.在包括广角眼底检查诊断新技术在内的眼底影像检查诊断新技术临床应用中,必须清醒认识到眼底影像检查诊断技术不能替代医师的主体地位.在疾病认知能力三要素中,技术力、知识力和思维力三者兼备才能成为独具慧眼的优秀医师,担当起推动眼底病诊断治疗水平不断提升的重任.