[Significance of the digital image in the diagnosis and classification of macular drusen].

G Mimoun, G Soubrane, G Coscas
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Abstract

Macular drusen, hard or soft, have been often observed at the early stages of age-related macular degeneration. Clinically, it has been shown that soft drusen and macular subretinal new vessels are associated in a statistically significative manner. The question is to recognize and to determine drusen at greatest risk for developing choroidal neovascularization? To answer to this question, a method of digital images analysis of fluorescein angiography had been perfected. About ten eyes, preliminary results show, an objective and quantitative difference of the evolution of the grey level during the same angiogram between the different retinal structures. This method would bring a prognostic feature for the long term follow-up of patients with drusen.

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【数字影像在黄斑囊肿诊断与分型中的意义】。
黄斑变性,硬或软,已经常观察到在早期阶段的老年性黄斑变性。临床研究表明,软性水肿和黄斑视网膜下新生血管具有统计学意义。问题是如何识别并确定发生脉络膜新生血管风险最大的患者?为了回答这个问题,荧光素血管造影的数字图像分析方法得到了完善。初步结果表明,在10只眼的血管造影中,不同视网膜结构的灰度水平的演变在客观和定量上存在差异。该方法可为长期随访患者的预后提供参考。
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