论文部分内容阅读
对60例(63眼)视盘血管炎的临床分型进行了探讨。结果表明:除分为Ⅰ、Ⅱ两型外,尚存在混合型。当视盘睫状血管炎性病变波及中央静脉,或两个血管系统同时受炎症侵犯时,即可出现混合型的临床表现。视盘明显水肿,视网膜静脉迂张,散在渗出、出血,动脉狭细。眼底荧光血管造影可见视盘荧光早期充盈明显迟缓,后期渗漏面积>2.0PD,视网膜循环时间延长、混合型兼有Ⅰ、Ⅱ两型的临床特征,应作为一个独立类型存在。同时观察到视盘血管炎并不只是轻症,Ⅰ、Ⅱ型均有重型存在,临床要不失时机的治疗,方可避免视功能的严重损害及合并症的发生。
The clinical classification of 60 cases (63 eyes) of optic disc vasculitis was discussed. The result shows that there are mixed types besides being divided into Ⅰ and Ⅱ types. When the optic disc ciliary inflammatory lesions affect the central vein, or both vascular systems infested by inflammation, mixed clinical manifestations may occur. Disc apparent edema, retinal vein circuitous, scattered oozing, bleeding, arterial narrowing. Fundus fluorescein angiography showed obvious early filling of optic disc fluorescence slow, late leakage area> 2.0PD, retinal circulation time, mixed type Ⅰ, Ⅱ both clinical features, should exist as an independent type. At the same time, it was observed that optic disc vasculitis is not only mild, type I and type II are both heavy and exist clinically to lose no time in the treatment to avoid serious damage to visual function and complications.