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目的:报道1例特发性息肉样脉络膜血管病变的眼底荧光血管造影与吲哚青绿血管造影的临床特点。方法:常规眼科检查、眼底照相、荧光血管造影、吲哚青绿血管造影分析以及文献复习。结果:特发性息肉样脉络膜血管病变患者缺乏典型的玻璃疣,但可在视乳头与黄斑间出现大量泥沙样黄色渗出,眼底荧光血管造影中没有老年性黄斑变性样的新生血管,吲哚青绿血管造影中可见典型的息肉样脉络膜血管扩张,可单眼发病。结论:特发性息肉样脉络膜血管病变在临床表现以及眼底血管造影方面均有特征性改变。区分特发性息肉样脉络膜血管病变与老年性黄斑变性在疾病的视力预后、转归以及治疗处理上都有实际的临床意义。眼科学报2001;17:126～129。
Objective: To report the clinical features of fundus fluorescein angiography and indocyanine green angiography in 1 patient with idiopathic polypoid choroidal vasculopathy. Methods: routine ophthalmic examination, fundus photography, fluorescein angiography, indocyanine green angiography and literature review. Results: Idiopathic polypoid choroidal vasculopathy patients lack typical drusen, but there may be a large amount of sediment-like yellow exudation between the papilla and the macula. There is no age-related macular degeneration in the fundus fluorescein angiography. Indocyanine green angiography can be seen in typical polypoid choroidal vasodilation, monocular disease. Conclusions: Idiopathic polypoid choroidal vasculopathy has a characteristic change in clinical manifestations and fundus angiography. To distinguish between idiopathic polypoid choroidal vasculopathy and age-related macular degeneration in the prognosis of the disease vision, prognosis and treatment have practical clinical significance. Journal of Ophthalmology 2001; 17: 126 ~ 129.