CAJ | 학술논문

目的观察45岁以上患者发生黄斑区浆液性神经上皮脱离的疾病类型,探讨疾病诊断必要的辅助检查方法.方法对年龄在45岁以上,双目间接检眼镜检查结合光相十断层扫描(OCT)确诊为黄斑区浆液性神经上皮脱离患者46例49只眼的临床资料进行同顾性分析.所有患者均接受荧光素眼底血管造影(FFA)、吲哚青绿血管造影(ICGA)检查.结合 FFA、ICGA和OCT检查做出诊断.结果中心性浆液性脉络膜视网膜病变(CSC)31例34只眼,占所有患者的69.4%.其中,9例12只眼呈典型CSC表现,占CSC患者的35.3%;22例22只眼为慢性CSC,占CSC患者的64.7%.渗出型老年性黄斑变性(AMD)12例12只眼,占所有患者的24.5%.其中隐匿型9例,占AMD患者的75%;轻微经典型2例,占16.7%;经典型1例,占8.3%.息肉样脉络膜血管病变(PCV)3例3只眼,占6.1%.结论 45岁以上患者发生单纯黄斑区浆液性神经上皮脱离病因复杂,ICGA检查对慢性CSC、隐匿型CNV和PCV鉴别诊断有一定的作用.
목적 관찰45세이상환자발생황반구장액성신경상피탈리적질병류형,탐토질병진단필요적보조검사방법.방법 대년령재45세이상,쌍목간접검안경검사결합광상십단층소묘(OCT)학진위황반구장액성신경상피탈리환자46례49지안적림상자료진행동고성분석.소유환자균접수형광소안저혈관조영(FFA)、신타청록혈관조영(ICGA)검사.결합 FFA、ICGA화OCT검사주출진단.결과 중심성장액성맥락막시망막병변(CSC)31례34지안,점소유환자적69.4%.기중,9례12지안정전형CSC표현,점CSC환자적35.3%;22례22지안위만성CSC,점CSC환자적64.7%.삼출형노년성황반변성(AMD)12례12지안,점소유환자적24.5%.기중은닉형9례,점AMD환자적75%;경미경전형2례,점16.7%;경전형1례,점8.3%.식육양맥락막혈관병변(PCV)3례3지안,점6.1%.결론 45세이상환자발생단순황반구장액성신경상피탈리병인복잡,ICGA검사대만성CSC、은닉형CNV화PCV감별진단유일정적작용.
Objective To observe the of macular serous neuroepithelial detachment and the necessary auxiliary examination methods for the diagnosis.Methods The clinical data of 46 patients (49 eyes) aged above 45 years with macular serous neuroepithelial detachment who have been diagnosed by binocular indirect ophthalmoscope and optical coherence tomography (OCT) were retrospectively analyzed.All the patients had undergone fundus fluorescein angiography (FFA) and indocyanine angiography (ICGA),and the diagnosis was established based on the results of FFA,ICGA and OCT.Results In these 46 patients (49 eyes),central serous chorioretinopathy (CSC) was found in 31 (34 eyes,69.4%),age-related macular degeneration (AMD) was found in 12 (12 eyes,24.5%),and polypoidal choroidal vasculopathy (PCV) was found in 3 (3 eyes,6.9%).In the 34 eyes with CSC,12 eyes (35.3%) had typical CSC and 22 eyes (64.7%) had chronic CSC.If the 12 eyes with AMD,9 eyes (75%) had occult CNV,2 eyes (16.7%) had minimally classic CNV,and 1 eye had classic CNV.Conclusions The causes of serous macular neuroepithelial detachment in patients aged above 45 years are complex;ICGA may help to establish the definitive diagnosis of chronic CSC,occult CNVO and PCV should be considered.