Predictive Role of Fluorescein Angiography in Retinopathy of Prematurity

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-07-24 DOI:10.3390/pediatric16030050
G. Dini, Alfredo Beccasio, Francesco Della Lena, Alberto Verrotti, C. Cagini
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Abstract

Background: Fluorescein angiography (FA) has been a pivotal tool for studying the pathophysiology of retinopathy of prematurity (ROP) in vivo. We examined the course of ROP using FA to assess the predictive value of angiographic features. Methods: This is an observational retrospective cohort study of eyes screened for ROP with a binocular indirect ophthalmoscope and FA. RetCam fundus imaging and video digital fluorescein angiography were performed in the neonatal intensive care unit of Santa Maria Hospital of Perugia. The masked grading of the FA images was retrospectively conducted by two ROP expert ophthalmologists. Results: A total of 80 eyes of 40 patients were included for this study. Among the angiographic features evaluated, leakage, shunts, and tangles were predictive of the development of treatment-requiring ROP (p < 0.05). Conclusions: FA can add to our understanding of the evolution of vascular abnormalities in the course of ROP and can help predict which eyes will go on to treatment.
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荧光素血管造影对早产儿视网膜病变的预测作用
背景:荧光素血管造影(FA)是研究早产儿视网膜病变(ROP)体内病理生理学的重要工具。我们利用荧光素血管造影检查了早产儿视网膜病变的病程,以评估血管造影特征的预测价值。方法:这是一项观察性回顾性队列研究,研究对象是通过双目间接眼底镜和 FA 筛查出患有 ROP 的眼睛。在佩鲁贾圣玛丽亚医院的新生儿重症监护室进行了 RetCam 眼底成像和视频数字荧光素血管造影。两名 ROP 专家眼科医师对 FA 图像进行了回顾性遮蔽分级。结果本研究共纳入了 40 名患者的 80 只眼睛。在评估的血管造影特征中,渗漏、分流和缠结是需要治疗的 ROP 的预兆(P < 0.05)。结论:血管造影有助于我们了解 ROP 病程中血管异常的演变过程,并有助于预测哪些眼球将接受治疗。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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