国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
755-759
,共5页
肖庆%曾军%唐罗生%赵屹女%孙红晶
肖慶%曾軍%唐囉生%趙屹女%孫紅晶
초경%증군%당라생%조흘녀%손홍정
经瞳孔温热疗法%中心性浆液性脉络膜视网膜病变%旁中心凹%荧光素血管造影%光学相干断层扫描
經瞳孔溫熱療法%中心性漿液性脈絡膜視網膜病變%徬中心凹%熒光素血管造影%光學相榦斷層掃描
경동공온열요법%중심성장액성맥락막시망막병변%방중심요%형광소혈관조영%광학상간단층소묘
transpupillary thermotherapy%central serous chorioretinopathy%parafovea%fluorescein angiography%optical coherence tomography
目的：观察经瞳孔温热疗法（ transpupillary thermotherapy ， TTT）治疗渗漏点位于旁中心凹的中心性浆液性脉络膜视网膜病变（ central serous chorioretinopathy ，CSC，简称中浆）患者的临床效果。<br> 方法：采用TTT治疗经眼底荧光造影和光学相干断层扫描检查确诊并自愿选择TTT治疗的患者19例23眼，其中男17例，女2例；左眼9只，右眼14只。年龄32～52（平均44．00±4．973）岁。我们运用810红外激光进行TTT治疗。随访所有患者TTT治疗后1，2，6mo的视力（ Snellen视力表转换成LogMAR以便分析）、眼底检查、眼底荧光造影、光学相干断层扫描等。<br> 结果：在接受治疗1 mo后眼底荧光造影显示渗漏消失者14眼（61％），光学相干断层扫描显示神经上皮无脱离；在治疗2 mo 后渗漏消失、神经上皮脱离愈合者21眼（91％）；6mo 后23眼全部无渗漏、无神经上皮脱离。74％的患者在6 mo 后视力提高≥3行。治疗后2 mo时FFA显示渗漏点消失，OCT显示视网膜下液吸收且视力无下降者视为治疗成功，治疗后6 mo时视网膜下液仍持续存在且视力无改善者则视为治疗失败。<br> 结论：TTT治疗旁中心凹渗漏的CSC在短期内安全有效，可能通过缩短病程改善CSC 的预后。
目的：觀察經瞳孔溫熱療法（ transpupillary thermotherapy ， TTT）治療滲漏點位于徬中心凹的中心性漿液性脈絡膜視網膜病變（ central serous chorioretinopathy ，CSC，簡稱中漿）患者的臨床效果。<br> 方法：採用TTT治療經眼底熒光造影和光學相榦斷層掃描檢查確診併自願選擇TTT治療的患者19例23眼，其中男17例，女2例；左眼9隻，右眼14隻。年齡32～52（平均44．00±4．973）歲。我們運用810紅外激光進行TTT治療。隨訪所有患者TTT治療後1，2，6mo的視力（ Snellen視力錶轉換成LogMAR以便分析）、眼底檢查、眼底熒光造影、光學相榦斷層掃描等。<br> 結果：在接受治療1 mo後眼底熒光造影顯示滲漏消失者14眼（61％），光學相榦斷層掃描顯示神經上皮無脫離；在治療2 mo 後滲漏消失、神經上皮脫離愈閤者21眼（91％）；6mo 後23眼全部無滲漏、無神經上皮脫離。74％的患者在6 mo 後視力提高≥3行。治療後2 mo時FFA顯示滲漏點消失，OCT顯示視網膜下液吸收且視力無下降者視為治療成功，治療後6 mo時視網膜下液仍持續存在且視力無改善者則視為治療失敗。<br> 結論：TTT治療徬中心凹滲漏的CSC在短期內安全有效，可能通過縮短病程改善CSC 的預後。
목적：관찰경동공온열요법（ transpupillary thermotherapy ， TTT）치료삼루점위우방중심요적중심성장액성맥락막시망막병변（ central serous chorioretinopathy ，CSC，간칭중장）환자적림상효과。<br> 방법：채용TTT치료경안저형광조영화광학상간단층소묘검사학진병자원선택TTT치료적환자19례23안，기중남17례，녀2례；좌안9지，우안14지。년령32～52（평균44．00±4．973）세。아문운용810홍외격광진행TTT치료。수방소유환자TTT치료후1，2，6mo적시력（ Snellen시력표전환성LogMAR이편분석）、안저검사、안저형광조영、광학상간단층소묘등。<br> 결과：재접수치료1 mo후안저형광조영현시삼루소실자14안（61％），광학상간단층소묘현시신경상피무탈리；재치료2 mo 후삼루소실、신경상피탈리유합자21안（91％）；6mo 후23안전부무삼루、무신경상피탈리。74％적환자재6 mo 후시력제고≥3행。치료후2 mo시FFA현시삼루점소실，OCT현시시망막하액흡수차시력무하강자시위치료성공，치료후6 mo시시망막하액잉지속존재차시력무개선자칙시위치료실패。<br> 결론：TTT치료방중심요삼루적CSC재단기내안전유효，가능통과축단병정개선CSC 적예후。
AIM:To explore the clinical effect of transpupillary thermotherapy( TTT) for the treatment of central serous chorioretinopathy( CSC) with parafoveal leaks. <br> METHODS:Twenty-three eyes from nineteen patients with long-standing CSC and parafoveal leaks (50-200μm around the fovea) who opted for TTT and observation were enrolled in this study.Eighteen of nineteen patients (23 eyes ) were male, fourteen of twenty-three eyes were right eyes.The patients'mean age was 44.00±4.973 years ( range from 32-52 years ) .TTT was performed using 810nm infrared diode laser.All patients underwent Snellen visual acuity measurement ( converted to LogMAR for analysis ) fundus examination, fluorescein angiography ( FFA ) and optical coherence tomography (OCT).Follow-up was scheduled at 1, 2, 6mo. <br> RESULTS: Following treatment of TTT, complete resolution of neurosensory detachment on OCT and disappearance of leakage on FFA was seen in fourteen eyes(61%), twenty-one eyes (91%) at the 2mo and twenty-three eyes ( 100%) at the 6mo respectively.A total of 74% had ≥3 lines of improvement after 6mo. Success was defined as resolution of neurosensory on OCT and disappearance of leakage on FFA at the 2mo. Failure was defined as no change at the 6mo and no improvement of visual acuity. <br> CONCLUSION:TTT is safe and effective therapeutic option in patients with CSC and parafoveal leaks.It may improve the visual acuity by shortening the persistent serous elevation of the macula.
