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多灶性脉络膜炎眼底血管造影的改变
引用本文:时冀川,郑曰忠,刘蓓. 多灶性脉络膜炎眼底血管造影的改变[J]. 中华眼底病杂志, 2004, 20(2): 87-89
作者姓名:时冀川  郑曰忠  刘蓓
作者单位:300040,天津市眼科医院眼底病科
摘    要:目的 探讨多灶性脉络膜炎(multifocal choroiditis)患者的临床表现及吲哚青绿血管造影(ICGA)和荧光素眼底血管造影(FFA)的特点。 方法 收集多灶性脉络膜炎患者8例10只眼,分别对其临床特征和眼底血管造影图像进行分析。 结果 8例患者均表现为眼底后极部和周边部的多灶性脉 络膜病变;ICGA显示病灶区呈弱荧光,提示为脉络膜灌注不良;非活动性病灶表现为荧光染色和透见荧光,萎缩处可见脉络膜大血管。FFA显示病灶区呈弱荧光,活动性病灶晚期有渗漏,非活动性病灶呈透见荧光。 结论 原发于脉络膜的多灶性脉络膜炎的临床表现随病程长短、病变部位的不同和病灶多少而各异,ICGA和FFA可清晰地显示病变发展的过程,并可用于指导临床治疗。 (中华眼底病杂志,2004,20:87-89)

关 键 词:脉络膜炎/诊断  荧光素眼底血管造影术  吲哚花青绿
收稿时间:2003-07-14
修稿时间:2003-07-14

Image features of indocyanine green and fluorescein angiography of multifocal choroiditis
SHI Ji-chuan,ZHENG Yue-zhong,LIU Pei. Image features of indocyanine green and fluorescein angiography of multifocal choroiditis[J]. Chinese Journal of Ocular Fundus Diseases, 2004, 20(2): 87-89
Authors:SHI Ji-chuan  ZHENG Yue-zhong  LIU Pei
Affiliation:Tianjin Eye Hospital, Tianjin 300040, China
Abstract:Objective To explore the clinical manifestations and the characteristics of images of indocyanine green angiography (ICGA) and fundus fluorescein angiography(FFA) of multifocal choroiditis. Methods Eight patients (10 eyes) with multifocal choroiditis were gathered. The clinical manifestations and the images of ICGA and FFA were analyzed. Results Foci of multifocal choroiditis were found in posterior pole and peripheral areas of ocular fundi of all of the 10 eyes. The images of ICGA revealed hypofluorescence in focal area. The images of FFA showed hypofluorescence at the early phase and fluorescein leakage at the late phase in the active focus, and fluorescein staining and window defect fluorescence in the inactive focus. Conclusions The clinical manifestations of multifocal choroiditis varied with disease course, location and numbers of the lesions. ICGA and FFA can show the development of the disease clearly, which may guide the treatment.
Keywords:Choroiditis/diagnosis  Fluorescein angiography  Indocyanine green
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