中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2011年
4期
314-317
,共4页
曹绪胜%彭晓燕%周辉%周海英
曹緒勝%彭曉燕%週輝%週海英
조서성%팽효연%주휘%주해영
荧光%荧光素血管造影术%视网膜疾病%脉络膜疾病%色素上皮,眼
熒光%熒光素血管造影術%視網膜疾病%脈絡膜疾病%色素上皮,眼
형광%형광소혈관조영술%시망막질병%맥락막질병%색소상피,안
Fluorescences Fluorescein angiography%Retinal diseases%Choroid diseases%Pigment epithelium of eye
目的 观察中心性浆液性脉络膜视网膜病变(CSC)患者荧光渗漏点区域的眼底自身荧光(FAF)改变特点.方法 采用海德堡视网膜血管造影仪对CSC患者67例67只眼行荧光素眼底血管造影(FFA)检查.其中,年龄≤45岁者47只眼,＞45岁者20只眼;急性CSC患者25只眼,慢性或复发性CSC 患者42只眼.使用488 nm波长激光采集FAF图像,观察荧光渗漏点区域的FAF改变特点.结果 67只眼中,FFA荧光渗漏点位置FAF无异常者35只眼,占52.2%;FAF呈点状弱荧光者16只眼,占23.9%;FAF呈小片状弱荧光或斑驳荧光者10只眼,占14.9%;FAF呈强荧光者6只眼,占9.0%.年龄≤45岁的47只眼中,FFA荧光渗漏点区域FAF无异常者26只眼,占55.3%;FAF呈点状弱荧光者11只眼,占23.4%;FAF呈小片状弱荧光或斑驳荧光者7只眼,占14.9%.FAF呈稍强荧光者3只眼,占6.3%.＞45岁的20只眼中,FFA荧光渗漏点位置FAF无异常者9只眼,占45.0%;FAF呈点状弱荧光者5只眼,占25.0%;FAF 呈片状弱荧光或斑驳荧光者3只眼,占15.0%,FAF呈强荧光者3只眼,占15.0%.急性CSC 25只眼中,FFA荧光渗漏点位置FAF无异常改变者20只眼,占80.0%;FAF呈点状弱荧光者4只眼,占16.O%FAF 呈小片状弱荧光或斑驳荧光者1只眼,占4.0%.慢性或复发性CSC 42只眼中,FFA荧光渗漏点区域无异常改变者15只眼,占35.7%;FAF呈点状弱荧光者12只眼,占28.6%;FAF呈小片状弱荧光或斑驳荧光者9只眼,占21.4%;FAF呈强荧光者6只眼,占14.3%.结论 不同年龄和病程的CSC患者FFA荧光渗漏点位置具有特征性的FAF改变.
目的 觀察中心性漿液性脈絡膜視網膜病變(CSC)患者熒光滲漏點區域的眼底自身熒光(FAF)改變特點.方法 採用海德堡視網膜血管造影儀對CSC患者67例67隻眼行熒光素眼底血管造影(FFA)檢查.其中,年齡≤45歲者47隻眼,＞45歲者20隻眼;急性CSC患者25隻眼,慢性或複髮性CSC 患者42隻眼.使用488 nm波長激光採集FAF圖像,觀察熒光滲漏點區域的FAF改變特點.結果 67隻眼中,FFA熒光滲漏點位置FAF無異常者35隻眼,佔52.2%;FAF呈點狀弱熒光者16隻眼,佔23.9%;FAF呈小片狀弱熒光或斑駁熒光者10隻眼,佔14.9%;FAF呈彊熒光者6隻眼,佔9.0%.年齡≤45歲的47隻眼中,FFA熒光滲漏點區域FAF無異常者26隻眼,佔55.3%;FAF呈點狀弱熒光者11隻眼,佔23.4%;FAF呈小片狀弱熒光或斑駁熒光者7隻眼,佔14.9%.FAF呈稍彊熒光者3隻眼,佔6.3%.＞45歲的20隻眼中,FFA熒光滲漏點位置FAF無異常者9隻眼,佔45.0%;FAF呈點狀弱熒光者5隻眼,佔25.0%;FAF 呈片狀弱熒光或斑駁熒光者3隻眼,佔15.0%,FAF呈彊熒光者3隻眼,佔15.0%.急性CSC 25隻眼中,FFA熒光滲漏點位置FAF無異常改變者20隻眼,佔80.0%;FAF呈點狀弱熒光者4隻眼,佔16.O%FAF 呈小片狀弱熒光或斑駁熒光者1隻眼,佔4.0%.慢性或複髮性CSC 42隻眼中,FFA熒光滲漏點區域無異常改變者15隻眼,佔35.7%;FAF呈點狀弱熒光者12隻眼,佔28.6%;FAF呈小片狀弱熒光或斑駁熒光者9隻眼,佔21.4%;FAF呈彊熒光者6隻眼,佔14.3%.結論 不同年齡和病程的CSC患者FFA熒光滲漏點位置具有特徵性的FAF改變.
목적 관찰중심성장액성맥락막시망막병변(CSC)환자형광삼루점구역적안저자신형광(FAF)개변특점.방법 채용해덕보시망막혈관조영의대CSC환자67례67지안행형광소안저혈관조영(FFA)검사.기중,년령≤45세자47지안,＞45세자20지안;급성CSC환자25지안,만성혹복발성CSC 환자42지안.사용488 nm파장격광채집FAF도상,관찰형광삼루점구역적FAF개변특점.결과 67지안중,FFA형광삼루점위치FAF무이상자35지안,점52.2%;FAF정점상약형광자16지안,점23.9%;FAF정소편상약형광혹반박형광자10지안,점14.9%;FAF정강형광자6지안,점9.0%.년령≤45세적47지안중,FFA형광삼루점구역FAF무이상자26지안,점55.3%;FAF정점상약형광자11지안,점23.4%;FAF정소편상약형광혹반박형광자7지안,점14.9%.FAF정초강형광자3지안,점6.3%.＞45세적20지안중,FFA형광삼루점위치FAF무이상자9지안,점45.0%;FAF정점상약형광자5지안,점25.0%;FAF 정편상약형광혹반박형광자3지안,점15.0%,FAF정강형광자3지안,점15.0%.급성CSC 25지안중,FFA형광삼루점위치FAF무이상개변자20지안,점80.0%;FAF정점상약형광자4지안,점16.O%FAF 정소편상약형광혹반박형광자1지안,점4.0%.만성혹복발성CSC 42지안중,FFA형광삼루점구역무이상개변자15지안,점35.7%;FAF정점상약형광자12지안,점28.6%;FAF정소편상약형광혹반박형광자9지안,점21.4%;FAF정강형광자6지안,점14.3%.결론 불동년령화병정적CSC환자FFA형광삼루점위치구유특정성적FAF개변.
Objective To investigate the characteristics of fundus autofluorescence (AF) in the leakage site of central serous chorioretinopathy (CSC). Methods Sixty-seven CSC patients (67 eyes)underwent fundus fluorescein angiography (FFA) examination with a confocal scanning angiography (HRA2). Autofluorescence was elicited by the wavelength of 488 nm. The patterns of autofluorescence corresponding to the leakage site on FFA were observed. All the enrolled patients were grouped by age (age≤45 in 47 eyes and age ＞45 in 20 eyes) and courses (acute CSC in 25 eyes and chronic or recurrent CSC in 42 eyes). the patterns of autofluorescence were analyzed respectively. Results There are 4 patterns of AF in the leakage site on FFA of CSC patients: no AF changes, punctuate hypo-AF, expanded hypo-AF or speckled AF, hyper-AF. The percentages of those patterns in all 67 eyes are 52. 2%, 23. 9% , 14. 9% and 9.0% respectively. The percentages of those patterns in the group of age ≤45 (n=47) are 55.3%,23. 4% , 14. 9% and 6. 3% respectively. The percentages of those patterns in the group of age ＞45 (n=20)are 45. 0% , 25. 0% , 15. 0% and 15. 0% respectively. The percentages of those patterns in acute CSC (n=20) are 80.0%, 16.0%, 4.0% and 0% respectively. The percentages of those patterns in chronic or recurrent CSC (n=42) are 35.7%, 28.6%, 21.4% and 14.3% respectively. Conclusion There are different patterns of fundus autofluorescence in different age and courses of CSC patients.
