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脉络膜血管样条纹临床罕见,西医目前无特殊治疗方法。笔者曾遇一例典型病人,采用中西医结合治疗,取得一定疗效,报道如下。 患者女,40岁。因双眼视物模糊伴变形半年,于1992年6月来本院门诊治疗。发病后曾在其他医院就诊过,诊为中心性浆液性视网膜病,黄斑区出血,地图状脉络膜病变。用过一般对症药物及激光治疗,效果不明显。 眼科检查:视力:右眼指数/20cm,左眼0.6。双眼球前段除晶体有不均匀轻度混浊外,其余无异常发现,指测眼压正常。新福林散瞳眼底检查,双眼玻璃体无明显混浊,双眼视盘无异常,但自视盘周围起始向眼底周边部发出放射状,龟裂样由粗到细之灰褐色条纹,如同地层裂开样,病灶深度在视网膜血管下,延伸范围,长短不一,有的接近赤道。双眼周边视网膜有点状色素沉着。右眼黄斑区伴有出血,左眼黄斑区中央窝偏鼻侧有陈旧灰褐色病灶。周边视野,右眼缩小20°,左眼缩小10°。全身检查,血、尿常规、胸透、血压、血糖、血脂均正常。皮肤科会诊,颈、四肢、躯干皮肤未见弹性假性黄色瘤改变。诊断:双眼底血管样条纹伴右眼黄斑区出血、左眼黄斑区萎缩变性。
Choroidal vascular stripe clinical rare, Western medicine is currently no special treatment. I have encountered a typical case of patients, the use of Integrative Medicine, achieved a certain effect, reported as follows. Female patient, 40 years old. Due to blurred binocular vision with deformation for six months, in June 1992 to our hospital for treatment. After the onset of treatment in other hospitals, diagnosed as central serous retinopathy, macular hemorrhage, map-like choroidal lesions. Used general symptomatic drugs and laser treatment, the effect is not obvious. Eye examination: visual acuity: Right eye index / 20cm, left eye 0.6. In addition to the previous two-eye lens with a slight heterogeneity of opacity, the other no abnormal findings, refers to the normal intraocular pressure. The new Folin mydriasis fundus examination, no obvious cloudy vitreous eyes, binocular optic disc without exception, but since the beginning of the optic disc to the periphery of the fundus issued a radial, crack-like coarse to fine gray-brown stripes, like the formation of cracked, The depth of the lesion in the retinal vessels, the extension of the range, length, and some close to the equator. The eyes around the retina a little pigmentation. The right eye with macular hemorrhage, the left foveal macular central fossa nasal side has old brownish brown lesions. Peripheral vision, the right eye reduced 20 °, left eye reduced 10 °. Systemic examination, blood, urine, chest X-ray, blood pressure, blood glucose, blood lipids are normal. Dermatology consultation, neck, limbs, torso skin no change in the pseudomyxoid tumor. Diagnosis: bilateral retinal vascular stripe with the right eye macular hemorrhage, left atrophy macular degeneration.