中心浆液性脉络膜视网膜病变FFA和同步频域OCT的分析
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广东省中医药局“2011年建设中医药强省”立项课题(No.20112037)


Analysis of central serous chorioretinopathy FFA and synchronous spectral domain OCT
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Research Topic of “Constructing the Leading Province of Traditional Chinese Medicine 2011”, Guangdong Provincial Traditional Chinese Medicine Bureau (No.20112037)

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    摘要:

    目的:探讨中心性浆液性脉络膜视网膜病变(central serous chorioretinopathy,CSC)的眼底血管造影,包括眼底荧光血管造影检查(FFA)与吲哚青绿血管造影(ICGA)以及同步频域光学相关断层扫描(SDOCT)的图像特征,以探讨CSC的发病机制。 方法:对2009-06/2011-10在我院就诊的54例CSC患者使用海德堡公司生产的Spectralis HRA-OCT设备进行检查,选取患者的FFA,ICGA及同步SDOCT结果进行分析。 结果:CSC患者54例FFA表现为视网膜色素上皮(RPE)的荧光渗漏,ICGA表现为病灶处脉络膜血管异常,SDOCT表现神经上皮的浆液性脱离,其中38例(70.4%)患者的FFA和同步SDOCT比较发现,FFA表现为荧光渗漏点处对应的同步SDOCT为小片状的RPE脱离。 结论:通过FFA与ICGA以及SDOCT的同步检查,更准确的定位CSC患者病变部位,为CSC的发病机制提供临床资料,从而更好的指导临床治疗。

    Abstract:

    AIM:To discuss the fundus angiography of central serous chorioretinopathy (CSC), including fundus fluorescein angiography (FFA),indocyanine green angiography(ICGA),and synchronous spectral domain optical coherence tomography(SDOCT) in order to investigate the pathogenesis of CSC. METHODS: Fifty-four cases with CSC in our hospital during June 2009 to October 2011 were checked by using Spectralis HRA-OCT. PatientsFFA,ICGA and synchronous SDOCT were analyzed and explained. RESULTS:FFA of 54 cases with CSC appeared retinal pigment epithelial(RPE)fluorescein leakage,ICGA appeared choroidal vascular abnormal in lesions and SDOCT appeared neuroepithelial serous detachment. Comparing FFA with SDOCT of 38 cases(70.4%), FFA appeared fluorescein leakage where ICGA was small pieces RPE detachment. CONCLUSION:CSC patients disorder location can be diagnosed accurately by checking FFA,ICGA and synchronous SDOCT, which provides clinical data for CSC pathogenesis in order to better guide clinical treatment.

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杨旸,祁勇军,黎桂芳,等.中心浆液性脉络膜视网膜病变FFA和同步频域OCT的分析.国际眼科杂志, 2012,12(7):1334-1336.

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  • 收稿日期:2012-03-31
  • 最后修改日期:2012-06-12
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