国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
2期
298-300
,共3页
中心性浆液性脉络膜视网膜炎%频域OCT%视力
中心性漿液性脈絡膜視網膜炎%頻域OCT%視力
중심성장액성맥락막시망막염%빈역OCT%시력
central serious chorioretinopathy%spectral-domain optical coherence tomography%visual acuity
目的：：探讨急性中心性浆液性脉络膜视网膜病变( central serious chorioretinopathy,CSCR)黄斑区形态学的改变与视力恢复的关系。方法：选取急性CSCR患者38例38眼,根据最佳矫正视力进行分组,第一组BCVA为1.0~0.6(logMAR 0~0.176)者17例(45%),第二组 BCVA 为0.6~0.3(logMAR 0.176~0.477)者19例(50%),第三组BCVA低于6/18( logMAR 0.477)者2例(5%)。应用频域OCT进行检查。结果：患者平均年龄42.50±5.41岁,平均logMAR 视力为0.176±0.0185,RPE脱离21眼(55%),其中单处脱离14眼(67%),多处脱离7眼(33%),RPE 不规则凸起7眼(18%),单纯RPE层颗粒状沉积5眼(13%)。平均神经上皮层脱离高度是259.11±128.78μm。神经上皮层脱离区外核层的厚度第一组为70.1±9.08μm,6mo后为66.5±8.13μm；第二组为81.6±8.16μm,6mo 后为67.8±7.49μm；第三组为91.9±8.03μm,6mo 后为58.6± 7.26μm；差异均具有显著性。急性期光感受器层平均厚度为93.10μm,6mo后平均为75.69μm (P=0.012)。结论：在急性期CSCR视力与黄斑区神经上皮层脱离范围尤其是脱离高度及外核层的厚度有密切的关系,而色素上皮层脱离的类型、部位及是否存在纤维沉积与视力无明显关系。恢复期 CSCR 视力与外核层变薄有着显著地联系。
目的：：探討急性中心性漿液性脈絡膜視網膜病變( central serious chorioretinopathy,CSCR)黃斑區形態學的改變與視力恢複的關繫。方法：選取急性CSCR患者38例38眼,根據最佳矯正視力進行分組,第一組BCVA為1.0~0.6(logMAR 0~0.176)者17例(45%),第二組 BCVA 為0.6~0.3(logMAR 0.176~0.477)者19例(50%),第三組BCVA低于6/18( logMAR 0.477)者2例(5%)。應用頻域OCT進行檢查。結果：患者平均年齡42.50±5.41歲,平均logMAR 視力為0.176±0.0185,RPE脫離21眼(55%),其中單處脫離14眼(67%),多處脫離7眼(33%),RPE 不規則凸起7眼(18%),單純RPE層顆粒狀沉積5眼(13%)。平均神經上皮層脫離高度是259.11±128.78μm。神經上皮層脫離區外覈層的厚度第一組為70.1±9.08μm,6mo後為66.5±8.13μm；第二組為81.6±8.16μm,6mo 後為67.8±7.49μm；第三組為91.9±8.03μm,6mo 後為58.6± 7.26μm；差異均具有顯著性。急性期光感受器層平均厚度為93.10μm,6mo後平均為75.69μm (P=0.012)。結論：在急性期CSCR視力與黃斑區神經上皮層脫離範圍尤其是脫離高度及外覈層的厚度有密切的關繫,而色素上皮層脫離的類型、部位及是否存在纖維沉積與視力無明顯關繫。恢複期 CSCR 視力與外覈層變薄有著顯著地聯繫。
목적：：탐토급성중심성장액성맥락막시망막병변( central serious chorioretinopathy,CSCR)황반구형태학적개변여시력회복적관계。방법：선취급성CSCR환자38례38안,근거최가교정시력진행분조,제일조BCVA위1.0~0.6(logMAR 0~0.176)자17례(45%),제이조 BCVA 위0.6~0.3(logMAR 0.176~0.477)자19례(50%),제삼조BCVA저우6/18( logMAR 0.477)자2례(5%)。응용빈역OCT진행검사。결과：환자평균년령42.50±5.41세,평균logMAR 시력위0.176±0.0185,RPE탈리21안(55%),기중단처탈리14안(67%),다처탈리7안(33%),RPE 불규칙철기7안(18%),단순RPE층과립상침적5안(13%)。평균신경상피층탈리고도시259.11±128.78μm。신경상피층탈리구외핵층적후도제일조위70.1±9.08μm,6mo후위66.5±8.13μm；제이조위81.6±8.16μm,6mo 후위67.8±7.49μm；제삼조위91.9±8.03μm,6mo 후위58.6± 7.26μm；차이균구유현저성。급성기광감수기층평균후도위93.10μm,6mo후평균위75.69μm (P=0.012)。결론：재급성기CSCR시력여황반구신경상피층탈리범위우기시탈리고도급외핵층적후도유밀절적관계,이색소상피층탈리적류형、부위급시부존재섬유침적여시력무명현관계。회복기 CSCR 시력여외핵층변박유착현저지련계。
To evaluate the relationship between the morphologic changes of central serious chorioretinopathy ( CSCR) and recovery of visual acuity visual acuity ( VA) .METHODS: Thirty-eight eyes of thirty-eight patients with CSCR were studied and divided according to best corrected visual acuity (BCVA). Group 1, n=17 (45%), VA 6/6-6/9 (logMAR 0 ~0. 176); Group 2, n=19(50%), VA 6/9-6/18 ( logMAR 0. 176 ~ 0. 477 ); Group 3, n= 2 (5%), VA less than 6/18 (logMAR 0. 477). All patients inspected by spectral - domain optical coherence tomography ( SD-OCT) .RESULTS: The mean age of the patients was 42. 50 ± 5. 41years, the mean logMAR VA was 0. 176 ± 0. 0185, retinal pigment epithelium ( RPE) detachments in 21 eyes ( 55%) , including single RPE detachments in 14 eyes ( 67%) , and multiple confluent RPE detachments in 7 eyes (33%). Small bulge of RPE in 7 eyes (18%), granular deposition epi-RPE in 5 eyes (13%). The mean subretinal fluid height at the fovea was 259. 11 ± 128. 78μm. The average photoreceptor lengths were 70. 1 ± 9. 08μm, 81. 6 ± 8. 16μm, and 91. 9 ± 8. 03μm in groups 1, 2, and 3, respectively, the mean subretinal fluid height at the fovea was 66.5±8.13μm, 67.8±7.49μm, and 58.6±7.26μm after 6mo, respectively. The mean outer nuclear layer thickness during the active stage was 93. 10μm and it was 75. 69μm after 6mo (P=0. 012) CONCLUSlON: ln the acute CSCR, VA showed statistically significant association with greater dimensions of subretinal fluid-particularly, greater subretinal fluid height and thinning of the outer nuclear layer at the fovea. The type of pigment epithelium detachment ( PED ) , location, or fiber deposition has nothing to associate with VA. ln resolved CSCR, VA has a significant associated with a persistently thinner outer nuclear layer.
