彩色照相联合间接检眼镜在艾滋病眼底病筛查中的临床价值

摘要

目的 探讨彩色照相联合间接检眼镜在艾滋病眼底病筛查中的临床应用价值.方法 采用彩色眼底照相、间接检眼镜对2014年1月1日至2014年6月23日在首都医科大学附属北京地坛医院眼科门诊就诊的1 10例艾滋病病人进行眼底检查.结果 经过临床试验得出彩色眼底照相检出率79％,系统保存率100％;间接检眼镜检出率95％,系统保存率0％;联合检查检出率98％,系统保存率100％.彩色眼底照相可系统存档,筛查不到眼底周边病灶;间接检眼镜检查结果不能保存,能筛查到眼底周边隐藏病变现象.结论 彩色照相联合间接检眼镜检查可准确筛查出艾滋病眼底病变,检查结果完整保存,为临床教学、科研提供宝贵资料,可有效提高艾滋病眼底病诊断率,对早期发现艾滋病合并眼底病具有重要临床价值.%Objective To study the clinical value of color photography combined indirect ophthalmoscope in acquired immune deficiency syndrome (AIDS) ophthalmology screening.Methods Color fundus photography and indirect ophthalmoscope eye examination were done in the 110 AIDS patients from January 1,2014 to June 23,2014 in Beijing Ditan Hospital,Capital Medical University.Results Through clinical trials to draw color fundus we found that camera detection rate was 79％,system survival rate was 100％,indirect ophthalmoscope system detection rate was 95％,survival rate was 0％,joint inspection detection rate was 98％,system survival rate was 100％.Color fundus photography system can be archived,screening was not done to peripheral fundus lesions;indirect ophthalmoscope examination results can not be saved,to hide the phenomenon of peripheral fundus lesions screening.Conclusion Combined with indirect ophthalmoscope,fundus color photography and accurate screening for human immunodeficiency virus (HIV) retinopathy,examination results intact,provided valuable data for clinical teaching,scientific research,can effectively improve the diagnosis of AIDS fundus disease rate,AIDS patients with fundus disease which has important clinical value for early detection.