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观察中心性浆液性脉络膜视网膜病变(中浆)148例(151只眼)患者的眼底荧光血管造影,分析其荧光造影的改变与视力预后的关系。根据荧光造影时荧光素渗漏形态分析,圆点扩大型74只眼占67.3%,烟囱型26只眼占23.6%,不规则型10只眼占9.1%。视网膜色素上皮脱离27只眼占17.9%。荧光素渗漏的部位:黄斑中心区占6.26%,旁中心区占79.0%,周围黄斑区占24.4%。结论:渗漏部位与视力预后有密切关系,渗漏面积大小与视力预后关系不大,视网膜色素上皮脱离与视力预后有关。
Fundus fluorescein angiography was performed in 148 cases (151 eyes) with central serous chorioretinopathy (middle pulp), and the relationship between the change of fluorescence imaging and the prognosis of vision was analyzed. According to fluorescein leakage morphology analysis during fluoroscopy, the enlarged dots of 74 eyes accounted for 67.3%, the chimney 26 eyes 23.6%, and the irregular 10 eyes 9.1%. Retinal pigment epithelium from 27 eyes accounted for 17.9%. Fluorescein leakage sites: the central macular area accounted for 6.26%, next to the central area accounted for 79.0%, around the macular area accounted for 24.4%. Conclusion: The site of leakage is closely related to the prognosis of visual acuity. The size of leakage area is not related to the prognosis of visual acuity. The detachment of retinal pigment epithelium is related to the prognosis of visual acuity.