资源描述：
《息肉状脉络膜血管病变的眼底血管造影表现.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、310中华眼底病杂志2004年9月第20卷第5期ChinJOculFundusDis,September2004,Vol20,No.5·临床研究·息肉状脉络膜血管病变的眼底血管造影表现邢怡桥余运娴郑红梅江双红陈茜万玮【摘要】目的观察息肉状脉络膜血管病变(PCV)的临床特征及眼底血管造影表现。方法回顾分析12例PCV患者12只眼的眼底检查、荧光素眼底血管造影(FFA)、吲哚青绿血管造影(ICGA)及其5例5只眼的光相干断层扫描(OCT)检查资料。结果12只眼均可见深层和(或)浅层出血,黄色脂质渗出。其中6只眼病变处
2、见橘红色病灶,2只眼伴视网膜前出血。FFA检查,静脉期6只眼橘红色病灶内点状荧光,4只眼病变处可见脉络膜血管网。晚期均见息肉状强荧光点荧光素渗漏,2只视网膜前出血眼晚期未见荧光素渗漏。ICGA检查,12只眼晚期见强度不等、簇状或孤立的息肉状扩张灶,4只眼显示明显的脉络膜血管网。OCT检查,4只眼视网膜色素上皮(RPE)和脉络膜毛细血管高反射层呈穹窿状隆起,1只眼无改变。结论PCV眼底多见黄斑区出血性和(或)浆液性视网膜色素上皮脱离(RPED)和(或)神经上皮脱离,黄色脂质渗出。FFA及ICGA检查可见分支状脉络膜
3、血管网及末梢膨大息肉状扩张灶。【关键词】视网膜疾病/诊断;脉络膜疾病/诊断;黄斑变性;荧光素眼底血管造影;吲哚花青绿/诊断应用中图分类号:R774.12R770.43R443ManifestationoffundusangiographofpolypoidalchoroidalvasculopathyXINGYi-qiao,YUYun-xian,ZHENGHong-mei,etal.DepartmentofOphthalmology,RenminHospital,WuhanUniversity,Wuhan4300
4、60,ChinaCorrespondingauthor:YUYun-xian,Email:yxjing930@sina.com【Abstract】ObjectiveToobservethemanifestationoffundusangiographsofpolypoidalchoroidalvasculopathy(PCV).MethodsTwelvePCVpatientsinvolved7malesand5femalesagingfrom40to69yearold(average56.4).Fundusexa
5、mination,fundusfluoresceinangiography(FFA),andindocyaninegreenangiography(ICGA)wereperformedon12patients(12eyes)withPCV,outofwhom5underwentopticalcoherenecetomography(OCT).ResultsIn12eyes,deepand(or)superficialhemorrhageandyellowhardexudationswerefound,includ
6、ingorange-redlesionsin6andpre-retinalhemorrhagein2.TheresultsofFFAdiscoveredorange-redspottyfluorescencein6eyesandchoroidalvascularnetworkin4eyes.Atthelatephase,leakageofpolypoidalhyperfluorescencespotinalloftheeyesexcept2withoutleakagewerefound.TheimagesofIC
7、GAshowedtypicaldottedorclusteredpolypoidalhyperfluorescencein12eyesatthelatephase.OCTdisclosedprotrusionoftheretinalpigmentepitelium(RPE)withabumpysurfaceatpolypoidalstructurein4eyesandnochangein1eye.ConclusionsPCVmainlyaffectstheelderlypersonsandmostlyonunil
8、ateraleyes.Macularhemorrhage,serousRPED,and(or)neuroepithelialdetachmentwithyellowhardexudationsarethemainmanifestations.Branchingchoroidalvascularnetwithploypliketerminalanourysmaldilati
