CAJ | 학술논문

中心性浆液性脉络膜视网膜病变(CSC)是眼科常见病,以黄斑区浆液性视网膜脱离为典型特征,但部分患者可存在弥漫性视网膜色素上皮病变、脉络膜新生血管形成、大泡性视网膜脱离、纤维素性渗出等不典型表现.由于不典型CSC的表现和症状与息肉状脉络膜血管病变(PCV)、可累及后极的炎症类疾病(如Vogt-小柳-原田综合征)等类似,一些其他全身及眼部疾病也可引起浆液性视网膜脱离及不典型CSC表现,临床上常造成误诊或漏诊,而上述不同疾病的治疗方法存在很大差别,因此,眼科医师应该充分了解CSC的表现特征,尤其是不典型表现,注意患者全身情况,包括糖皮质激素的使用,做到准确诊断,合适治疗.
중심성장액성맥락막시망막병변(CSC)시안과상견병,이황반구장액성시망막탈리위전형특정,단부분환자가존재미만성시망막색소상피병변、맥락막신생혈관형성、대포성시망막탈리、섬유소성삼출등불전형표현.유우불전형CSC적표현화증상여식육상맥락막혈관병변(PCV)、가루급후겁적염증류질병(여Vogt-소류-원전종합정)등유사,일사기타전신급안부질병야가인기장액성시망막탈리급불전형CSC표현,림상상상조성오진혹루진,이상술불동질병적치료방법존재흔대차별,인차,안과의사응해충분료해CSC적표현특정,우기시불전형표현,주의환자전신정황,포괄당피질격소적사용,주도준학진단,합괄치료.
Central serous chorioretinopathy (CSC)is a common eye disease characterized by macular serous retinal detachment.However,sometimes there are some atypical features,such as diffuse retinal pigment epitheliopathy,choroidal neovascularization (CNV),acute bullous retinal detachment,subretinal fibrosis,etc.Atypical CSC often is misdiagnosed because of its similar manifestations to polypoidal choroidal vasculopathy (PCV),inflammatory diseases such as Vogt-Koyanagi-Harada syndrome (VKH),et al.Furthermore,there are some other ophthalmic and systematic diseases which can cause serous retinal detachment and other atypical features.Nevertheless,the therapeutic regimens of these diseases are in great variation.In view of this,oculist should pay more attention to the differential diagnosis of CSC by fully understanding its clinical findings and concerning the general history including gluococorticoid administration.In this way,a precise diagnosis and correct management can be done.