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目的 评价光学相干断层成像术（ｏｐｔｉｃａｌｃｏｈｅｒｅｎｃｅ ｔｏｍ ｏｇｒａｐｈｙ，ＯＣＴ）对中心性浆液性脉络膜视网膜病变的诊断及追踪观察的临床使用价值。 方法 对３０ 例（３２ 只眼）中心性浆液性脉络膜视网膜病变患者分别进行检眼镜、荧光素眼底血管造影、ＯＣＴ检查。部分病例进行定期的光学相干断层成像术复查。 结果 ３２只眼中心性浆液性脉络膜视网膜病变的ＯＣＴ图像中，２７只眼表现为单纯神经上皮层脱离，２只眼为单纯色素上皮层脱离，３只眼同时存在神经上皮层脱离和色素上皮层脱离。１１只眼定期追踪观察的ＯＣＴ均可动态地观察到液体的吸收和测量到神经上皮层脱离高度的减少。 结论 ＯＣＴ是一种新的、无损伤性的、非接触性和定量的检查方法。能鉴别中心性浆液性脉络膜视网膜病变的神经上皮层脱离和色素上皮层脱离，并能进行定量的追踪观察。
Objective To evaluate the clinical value of optical coherence tomography (OCT) in the diagnosis and follow-up of central serous chorioretinopathy. Methods 30 patients (32 eyes) with central serous chorioretinopathy were examined by ophthalmoscopy, fluorescein angiography and OCT respectively. Some cases of regular optical coherence tomography review. Results In OCT images of 32 eyes with central serous chorioretinopathy, 27 eyes showed simple neuroepithelial detachment, 2 eyes had detachment of simple pigment epithelium, 3 eyes had both neuroepithelial detachment and pigment epithelium Detached. OCT observed regularly in 11 eyes dynamically observed fluid absorption and measured reduction in neuroepithelial detachment height. Conclusion OCT is a new, non-invasive, non-contact and quantitative examination method. Can identify central serous chorioretinopathy neuroepithelial detachment and detachment of the pigment epithelium, and can be quantitatively tracked.