CAJ | 학술논문

目的观察超高度近视眼眼底漆裂纹及黄斑区脉络膜新生血管(CNV)的红外照相(IR)、自发荧光(AF)、红外自发荧光(IR AF)、荧光素眼底血管造影(FFA)和吲哚青绿血管造影(ICGA)同步检查的影像学特征.方法对2010年10月至2011年12月在河北省眼科医院就诊患者中选择屈光状态＞-9 D近视患者22例41只眼进行眼底IR、AF、IR AF及FFA和ICGA同步检查,对比分析各图像特征.结果 IR显示22只眼漆裂纹形成,9只眼黄斑区可见限局性病灶(造影证实为新生血管形成);AF及IR AF均显示6只眼新生血管形成;FFA显示16只眼漆裂纹形成,12只眼新生血管形成;ICGA显示27只眼漆裂纹形成,12只眼新生血管形成.结论 IR可以发现大部分的漆裂纹,FFA和ICGA同步检查能更全面地了解高度近视患者眼底视网膜与脉络膜的病理变化,有助于全面地了解病情和指导进一步治疗.
목적 관찰초고도근시안안저칠렬문급황반구맥락막신생혈관(CNV)적홍외조상(IR)、자발형광(AF)、홍외자발형광(IR AF)、형광소안저혈관조영(FFA)화신타청록혈관조영(ICGA)동보검사적영상학특정.방법 대2010년10월지2011년12월재하북성안과의원취진환자중선택굴광상태＞-9 D근시환자22례41지안진행안저IR、AF、IR AF급FFA화ICGA동보검사,대비분석각도상특정.결과 IR현시22지안칠렬문형성,9지안황반구가견한국성병조(조영증실위신생혈관형성);AF급IR AF균현시6지안신생혈관형성;FFA현시16지안칠렬문형성,12지안신생혈관형성;ICGA현시27지안칠렬문형성,12지안신생혈관형성.결론 IR가이발현대부분적칠렬문,FFA화ICGA동보검사능경전면지료해고도근시환자안저시망막여맥락막적병리변화,유조우전면지료해병정화지도진일보치료.
Objective To observe the effect of super high myopia fundus lacquer crack and macular choroidal neovascularization(CNV)by the infrared photography(IR),Autofluorescence(AF),Infrared Ray Autofluorescence(IR AF),Fundus Fluorescein Angiography (FFA) and Indocyanine Green Angiography,(ICGA)simultaneous imaging.Methods The diopter greater than-9D of 22 patients (41 eyes)were chosen,the myopia fundus IR,AF,IR AF,FFA and ICGA sync check were collected,compared and analyzed the image features.Results IR showed 22 eyes had lacquer crack formation,9 eyes had macular visual focal lesions(angiography showed that was CNV); AF and IR AF showed that 6 eyes had CNV; FFA showed 16 eyes had lacquer crack,12 eyes had CNV; ICGA showed 27 eyes had lacquer crack,12 eyes had CNV; Conclusions IR can found most of the lacquer cracks,FFA and ICGA synchronous check can more fully understand the pathological changes in patients with high myopia,to help better understand the disease and guide further treatment.