本文選題：眼底熒光血管造影 + 相干光斷層掃描　； 參考：《哈爾濱醫(yī)科大學(xué)學(xué)報(bào)》2014年03期

【摘要】：目的探討眼底熒光血管造影(FFA)聯(lián)合相干光斷層掃描(OCT)在中心性漿液性脈絡(luò)膜視網(wǎng)膜病變(central serous chorioretinopathy,CSC)檢查中應(yīng)用的臨床意義。方法對臨床診斷為CSC的43例患者(45只眼)的臨床資料進(jìn)行對比觀察,分析其FFA及OCT檢查影像特征。結(jié)果兩者對比觀察,OCT檢出40眼(88.9%)為神經(jīng)上皮脫離,其中39眼(86.7%)FFA表現(xiàn)為熒光滲漏,且均在OCT神經(jīng)上皮脫離范圍內(nèi),另1眼(2.2%)未見異常熒光;OCT檢出3眼(7.5%)神經(jīng)上皮伴色素上皮脫離,其中2眼(4.4%)FFA見黃斑區(qū)片狀強(qiáng)見熒光,另1眼(2.2%)未見異常熒光;2眼(4.4%)OCT僅見色素上皮脫離,FFA表現(xiàn)為局限性強(qiáng)熒光。結(jié)論 FFA和OCT在對CSC的診斷上各具優(yōu)勢,FFA可定位血管滲漏點(diǎn),反映疾病的范圍和程度,利于激光治療。OCT可明確觀察到視網(wǎng)膜病變的形態(tài)改變,兩者結(jié)合可以更有效地診斷和治療CSC。
[Abstract]:Objective to investigate the clinical significance of fundus fluorescein angiography (FFA) combined with coherence tomography (Oct) in central serous chorioretinopathy of central serous chorioretinopathy. Methods the clinical data of 43 patients with CSC (45 eyes) were compared and observed. The imaging features of FFA and OCT were analyzed. Results 40 eyes (88.9 eyes) were detected as neuroepithelial detachment by Oct. Among them, 39 eyes (86.7%) showed fluorescence leakage, and all of them were within the range of OCT neuroepithelial detachment, the other 1 eye (2. 2%) had no abnormal fluorescence Oct to detect 3 eyes / 7.5% of neuroepithelial detachment with pigment epithelial detachment. Among them, 2 eyes with FFA showed strong fluorescence in macular area, 2 eyes had no abnormal fluorescence, 2 eyes had no abnormal fluorescence, only 4. 4% Oct showed local high fluorescence in pigment epithelium detachment. Conclusion FFA and OCT have different advantages in the diagnosis of CSC. FFAs can locate vascular leakage points and reflect the extent and extent of the disease. It is helpful to observe the morphologic changes of retinopathy by laser therapy. The combination of the two can be more effective in the diagnosis and treatment of CSCs.
【作者單位】： 海南省農(nóng)墾三亞醫(yī)院眼科;哈爾濱醫(yī)科大學(xué)附屬第一醫(yī)院眼科;
【基金】：國家自然科學(xué)基金資助項(xiàng)目(30973275)
【分類號】：R774.1

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