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目的 :探讨复发性中心性浆液性脉络膜视网膜病变 (centralserouschorioretinopathy ,CSC)的荧光眼底血管造影(fluoresceinfundusangiography ,FFA)特征。方法 :对 2 6例 (38只眼 )CSC患者进行FFA检查。结果 :在 2 6例复发性CSC患者中有神经上皮脱离者 13只眼 ,色素上皮脱离者 11只眼 ,窗样缺损者 9只眼 ,色素上皮带状萎缩 4只眼。病灶位于黄斑区 30只眼 ,黄斑颞侧 7只眼 ,鼻侧仅有 1只眼。色素上皮和神经上皮脱离范围小于 1/ 2PD者占 5 0 9% ,大于 2PD者占 8 9% ,二者之间者占 30 1%。结论 :对于复发性CSC ,FFA仍然是最有诊断意义的检查 ,其特征性改变提示视网膜色素上皮代偿失调与脉络膜毛细血管循环障碍有联系
Objective: To investigate the characteristics of fluorescein fundus angiography (FFA) of recurrent central serouschorioretinopathy (CSC). Methods: FFA was performed in 26 patients (38 eyes) with CSC. Results: Twenty-six patients with recurrent CSC had 13 patients with neuroepithelial detachment, 11 with pigment epithelium detachment, 9 eyes with window-like defect and 4 with atrophy of pigmented epithelium. The lesions were located in 30 eyes of the macular area, 7 eyes of the temporal side of the macula and only 1 eye of the nasal side. Pigment epithelium and neuroepithelial detachment range of less than 1 / 2PD accounted for 59%, more than 2PD accounted for 89%, between the two accounted for 30 1%. CONCLUSION: FFA is still the most diagnostic test for recurrent CSC, and its characteristic changes suggest that retinal pigment epithelial decompensation is associated with choroidal capillary circulation disorder