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匐行性脉络膜病变是后极部脉络膜毛细血管和视网膜色素上皮的一种慢性复发性疾病。1932年Junius首先描述了本病,并命名为视乳头旁-中心性视网膜脉络膜炎(Parapapillary centralretinochoroiditis)。以后,很多学者相继提出报告,分别称为地图样脉络膜炎(Geographicchoroiditis),地图样螺旋状视乳头周围脉络膜病变(Geographic helicoid peripapillary choroidopathy),匐行性脉络膜炎(Serpiginous choroiditis)或匐行性脉络膜病变(Serpiginous choroidopathy)。本文就本病的临床表现,发病机理,诊断及鉴别诊断以及治疗等方面做扼要综述。一、临床表现(一)发病情况:
Serpiginous chorioretinopathy is a chronic recurrent disease of the posterior pole choroidal capillaries and the retinal pigment epithelium. Junius first described the disease in 1932 and was named Parapapillary central retinaloiditis. Since then, many scholars have reported in succession as Geographicchoroiditis, Geographic helicoid peripapillary choroidopathy, Serpiginous choroiditis, or Serpiginous choroid disease Serpiginous choroidopathy. This article summarizes the clinical manifestations, pathogenesis, diagnosis and differential diagnosis and treatment of the disease. First, the clinical manifestations (a) the incidence of: