CAJ | 학술논문

目的分析急性期Vogt-小柳-原田综合征(VKHS)荧光素眼底血管造影(FFA)的表现.方法对11例(21只眼)急性期VKHS患者做详细的眼部检查,并行眼底彩色照相和眼底荧光血管造影等检查.结果全部患者均有脉络膜背景荧光呈斑点状充盈迟缓,20只眼后极部和(或)中周部视网膜色素上皮水平呈多发性细小点状荧光素渗漏,如墨渍样扩散并彼此融合,晚期呈大小不等多湖或单湖状高荧光；1只眼视盘表面辐射状毛细血管扩张,荧光素强烈渗漏,盘周线状出血遮蔽荧光；2只眼放射状条形低荧光；视网膜中央血管系统未见受累.结论急性期VKHS的FFA特征为后极部和(或)中周部视网膜色素上皮层多发性渗漏,造影晚期多湖或单湖样荧光素积存.该特征对VKHS早期诊断具有重要作用.
목적 분석급성기Vogt-소류-원전종합정(VKHS)형광소안저혈관조영(FFA)적표현.방법 대11례(21지안)급성기VKHS환자주상세적안부검사,병행안저채색조상화안저형광혈관조영등검사.결과 전부환자균유맥락막배경형광정반점상충영지완,20지안후겁부화(혹)중주부시망막색소상피수평정다발성세소점상형광소삼루,여묵지양확산병피차융합,만기정대소불등다호혹단호상고형광；1지안시반표면복사상모세혈관확장,형광소강렬삼루,반주선상출혈차폐형광；2지안방사상조형저형광；시망막중앙혈관계통미견수루.결론 급성기VKHS적FFA특정위후겁부화(혹)중주부시망막색소상피층다발성삼루,조영만기다호혹단호양형광소적존.해특정대VKHS조기진단구유중요작용.
Objective To study the manifestation of Vogt-Koyanagi-Harada syndrome (VKHS) at acute period in fundus fluorescein angiography (FFA).Methods Eleven cases (21 eyes) of VKHS were examined with fundus color photography and fundus fluorescein angiography.Results In 11 cases (21eyes) of VKHS,all patients had choroids fluorescein filling later at the post hole of ocular funds.In 20 eyes,multiple small exudation of retinal pigment epithelium (RPE) appeared in the early phase and cystic fluorescein reservoir was observed in the late phase.There was 1 eye with capillary dilation and exudation on the surface of optic disc and with thred-like bleeding around optic disc.There were hypo fluorescence hangs radiating from the optic disc in 2 eyes.Central vascular system was not affected.Conclusions The characteristic of FFA in VKHS at acute period is cystic fluorescein reservoir caused by multiple exudation of RPE.FFA is an important auxiliary examination of VKHS at acute period.