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老年性黄斑变性眼底荧光血管造影观察山西省眼科医院（０３０００２）李春丽，刘少君，王晋云老年性黄斑变性（Ｓｅｎｉｌｅｍａｃｕｌａｒｄｅｇｅｎｅｒａｔｉｏｎ简称ＳＭＤ）是一种随年龄增长患病率不断增高的老年性疾病，也是造成老年人视力障碍及失明的主要原因之一，随着我国人民平均寿命的延长，发病率将有所增加。现将我院经眼底荧光血管造影观察的９６例ＳＭＤ报告如下。临床资料本文９６例为经临床检查除外其它眼病，无荧光血管造影禁忌症者。并根据１９８６年全国眼底病学组制定诊断标准分型［１］。其中男性５６例，女性４０例；年龄１５～７８岁，平均６１岁。萎缩型有３２例，双眼者３０例，视力０．１～１．５；渗出型有６４例，双眼者１６例，视力指数／眼前～０．４。所有病例均用２０％荧光素钠液３ｍｌ经时静脉快速注入，用Ｔｏｐｃｏｎ眼底照像机进行观察并拍照。眼底所见：①萎缩型：１８例可见黄斑区色素脱失与沉着相间，后极部有大小不一，簇状或散在的黄色玻璃膜疣。１４例黄斑区色素上皮萎缩，呈金箔样反光。②渗出型：３０例黄斑区及周围大片暗红色不规则形出血区，间或周围有黄白色渗出斑。１７例后极部出血呈灰黑色，部分边缘有深浅不一的眼红或鲜红色出血。９例形成血肿
Senile macular degeneration, fundus fluorescein angiography observation Shanxi Provincial Eye Hospital (030002) Li Chunli, Liu Shaojun, Wang Jinyun Senile macular degeneration (Senilemaculardegeneration referred to as SMD) is a growing prevalence of age-related diseases of the elderly, but also caused by the elderly One of the main causes of visual impairment and blindness is that as the average life expectancy of people in our country increases, the incidence rate will increase. Now our hospital fundus fluorescein angiography 96 cases of SMD report is as follows. Clinical data 96 cases of this clinical examination except for other eye diseases, no fluorescent angiography contraindications. According to the 1986 National Eye Disease Group to develop diagnostic criteria for typing [1]. 56 cases of male and 40 female; aged 15 to 78 years, mean 61 years. 32 cases of atrophy, eyes in 30 cases, visual acuity of 0.1 to 1.5; exudate in 64 cases, 16 cases of both eyes, visual acuity index / anterior ~ 0.4. All cases were injected with 3ml of 20% sodium fluorescein solution through the vein in time and observed with a Topcon fundus camera and photographed. Fundus seen: ① atrophy: 18 cases of macular degeneration can be seen with pigmentation and phase, the latter part of the different sizes, clusters or scattered yellow drusen. 14 cases of macular pigment epithelium atrophy, gold foil-like reflex. ② exudative type: 30 cases of macular area and surrounding large dark red irregular bleeding area, around or around the yellow-white oozing spot. 17 cases of posterior pole bleeding was gray-black, some edges have varying degrees of jealous or bright red bleeding. 9 cases of hematoma formation