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目的：分析后极部扁平或／和泡状浆液性视网膜脱离眼病患者的不同临床表现及鉴别诊断。方法：分析和观察４例临床病例。结果：通过临床病例表现、特殊实验室检查和激素治疗反应确定诊断。脉络膜毛细血管阻塞和／或高灌注是共同的发病机理。结论：后极部扁平或／和泡状浆液性视网膜脱离的及时早期诊断、鉴别诊断和正确治疗有利于预后。
OBJECTIVE: To analyze the different clinical manifestations and differential diagnosis of flat and / or vesicular serous retinal detachment in the posterior pole. Methods: Four cases were analyzed and observed. Results: The diagnosis was confirmed by clinical case performance, special laboratory tests and hormone therapy responses. Choroidal capillary occlusion and / or hyperperfusion are common pathogenesis. Conclusion: The timely and early diagnosis, differential diagnosis and correct treatment of flat or / and vesicular serous retinal detachment in posterior pole are helpful to prognosis.