中心性浆液性脉络膜视网膜病变眼底影像检查特征对比观察
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Comparison on imaging features of central serous chorioretinopathy fundus
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    摘要:

    目的:分析并探讨中心性浆液性脉络膜视网膜病变(central serous chorioretinopathy, CSCR)眼底的影像学特点。

    方法:选取2008-05/2014-05来我院接受治疗的中心性浆液性脉络膜视网膜病变患者97例121眼。通过不同的方法分析并对比影像学检查特征。

    结果:≤45岁中心性浆液性脉络膜视网膜病变患者有61例74眼,双眼发病13例,单灶渗漏占48.6%,多灶渗漏占25.7%,不典型渗漏占25.7%。>45岁中心性浆液性脉络膜视网膜病变患者有36例47眼,双眼发病11例,单灶渗漏占8.5%,多灶渗漏占48.9%,不典型渗漏占42.6%。FFA显示急性初发型89眼,慢性迁延型32眼。OCT检查显示中心性浆液性脉络膜视网膜病变主要特征为神经上皮的脱离以及视网膜色素上皮(RPE)层的改变,后者又分为RPE层脱离93眼(76.9%),以及RPE小隆起和粗糙28眼(23.1%)。患者平均黄斑中心凹经上皮层的厚度为(137.87±19.21)μm,与正常人(137.32±4.98)μm比较无显著差异(t=0.30,P>0.05)。渗漏部位越接近黄斑中心凹,视力越差。

    结论:运用不同影像学检查对中心性浆液性脉络膜视网膜病变可以显示出不同征象,对临床诊治有不同且互补的作用,但均给予疾病治疗以重要帮助。

    Abstract:

    AIM: To explore and analyze the image features, diagnosis and treatment of the central serous chorioretinopathy(CSCR)fundus.

    METHODS: From May 2008 to May 2014, 97 cases of 121 eyes with central serous chorioretinopathy were treated in in our hospital. The imaging features were compared and analyzed through different methods.

    RESULTS: Sixty-one cases(61 eyes)were ≤45 years, including 13 case with disease in both eyes, single stove leak accounted for 48.6%, multifocal leakage(25.7%), atypical leakage accounted for 25.7%. Thirty-six cases(47 eyes)were >45 years, 11 cases with disease in both eyes, single focal leakage(8.5%), multifocal leakage(48.9%), atypical leakage accounted for 42.6%. FFA results showed acute hairstyle at the beginning of 89 eyes, chronic deferment type 32 eyes. OCT examination showed that the main features were neuroepithelial detachment, as well as the change of the retinal pigment epithelium(RPE)layer, which was divided into RPE layer detachment 93 eyes, accounting for 76.9%, rough and RPE little ridges in 28 cases, accounting for 23.1%. The average thickness of macular center concave on the cortex of microns was 137.87±19.21μm, and there was no significant difference conpared with normal(137.32±4.98μm)microns(t=0.30, P>0.05). The closer leakage area to macular fovea, the worse of eyesight..

    CONCLUSION: Different imaging examination on central serous chorioretinopathy can show different features. For clinical diagnosis and treatment it had different and complementary roles, but were given significant help for diseases treatment.

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张季瑾,王梅艳,徐凤,等.中心性浆液性脉络膜视网膜病变眼底影像检查特征对比观察.国际眼科杂志, 2014,14(10):1887-1889.

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  • 收稿日期:2014-06-10
  • 最后修改日期:2014-08-28
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  • 在线发布日期: 2014-09-22
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