臨床眼科73巻13号

2019年12月発行

特集 緑内障の新しい診療法とその評価—ホントのところは？ 【新規検査法を評価する】

OCTとOCTA

著者： 赤木忠道¹

所属機関： ¹京都大学大学院医学研究科眼科学教室

ページ範囲：P.1506 - P.1511

●緑内障診療の基本OCTはcpRNFL解析と黄斑部網膜内層解析である。

●OCT加算平均縦スキャンも緑内障診断に有用である。

●実際の緑内障診療におけるOCTAの有用性はいまだ定まっていない。

参考文献

1）Nakanishi H, Akagi T, Hangai M et al：Sensitivity and specificity for detecting early glaucoma in eyes with high myopia from normative database of macular ganglion cell complex thickness obtained from normal non-myopic or highly myopic Asian eyes. Graefes Arch Clin Exp Ophthalmol 253：1143-1152, 2015

2）Nakanishi H, Akagi T, Hangai M et al：Effect of axial length on macular ganglion cell complex thickness and on early glaucoma diagnosis by spectral-domain optical coherence tomography. J Glaucoma 25：e481-490, 2016

3）Nakano N, Hangai M, Noma H et al：Macular imaging in highly myopic eyes with and without glaucoma. Am J Ophthalmol 156：511-523 e6, 2013

4）Gardiner SK, Ren R, Yang H et al：A method to estimate the amount of neuroretinal rim tissue in glaucoma：comparison with current methods for measuring rim area. Am J Ophthalmol 157：540-549 e1-2, 2014

5）Malik R, Belliveau AC, Sharpe GP et al：Diagnostic accuracy of optical coherence tomography and scanning laser tomography for identifying glaucoma in myopic eyes. Ophthalmology 123：1181-1189, 2016

6）Akagi T, Iida Y, Nakanishi H et al：Microvascular density in glaucomatous eyes with hemifield visual field defects：an optical coherence tomography angiography study. Am J Ophthalmol 168：237-249, 2016

7）Yarmohammadi A, Zangwill LM, Diniz-Filho A et al：Optical coherence tomography angiography vessel density in healthy, glaucoma suspect, and glaucoma eyes. Invest Ophthalmol Vis Sci 57：451-459, 2016

8）Moghimi S, Bowd C, Zangwill LM et al：Measurement floors and dynamic ranges of OCT and OCT angiography in glaucoma. Ophthalmology 236：980-988, 2019

9）Rao HL, Pradhan ZS, Weinreb RN et al：A comparison of the diagnostic ability of vessel density and structural measurements of optical coherence tomography in primary open angle glaucoma. PLoS One 12：e0173930, 2017