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为探讨渗出型老年黄斑变性(AMD)的病灶损害和视功能改变的发展特征,用视力、眼底彩照和荧光血管造影(FFA)、明视视网膜电图(ERG)、FM100—hue色彩试验分别对48只、24只、35只及14只渗出型AMD患眼进行了随访检测。结果:渗出型AMD的病灶损害发展快慢不一,但65岁以上组,其病灶发展速率比65岁以下组的要快些(P<0.05)。在平均33.2个月的随访过程中,有75.0%的患眼随访终了时的视力在0.1或以下。明视ERG和FM100—hue色彩试验在随访前后无明显变化。结论:65岁以上的渗出型AMD患者,其病灶损害一般发展较快,大部分患眼在随访终了时视力在0.1或以下。
To investigate the developmental features of focal lesion and visual function in patients with exudative AMD, FFA, ERG and FM100-hue color tests were performed respectively 48, 24, 35 and 14 exudative AMD patients were followed up. Results: The development of exudative AMD lesion progressed slowly, but the rate of lesion development in patients over 65 years old was faster than that of 65 years old group (P <0.05). During an average of 33.2 months of follow-up, 75.0% of patients had visual acuity of 0.1 or less at the end of follow-up. Clear vision ERG and FM100-hue color test before and after follow-up no significant change. CONCLUSIONS: Exudative AMD patients older than 65 develop lesion lesions generally faster, and most have a visual acuity of 0.1 or less at the end of follow-up.