放射性视网膜病变的临床观察

目的：通过临床观察，分析放射性视网膜病变的临床表现特点。方法：回顾分析8例有确切放射线接触史患者的眼底临床表现、眼底荧光血管造影、吲哚青绿造影、视网膜光凝结果，随访变化情况，并与其常见眼底血管性病变进行比较。结果：棉絮斑和毛细血管无灌注区9只眼，硬性渗出7只眼，出血斑8只眼，2只眼视神经萎缩，7只眼接受视网膜光凝治疗。结论：放射性视网膜病变临床表现有一定特征，结合病史可明确诊断。

Clinical observation of radiation retinopathy

Objective:To observe and analyse the clinical characters of radiation retinopathy.Methods:Cinical data of 8 patients with radiation retinopathy,routine ophthalmic examination and fundus fluorescein angiography and indocyanin green angiography were analysed retrospectively and the findings also compared with similar fundus disease.Results:Cotton-wool spots were found in 9 eyes,hard exudate in 7 eyes,hemorrhage in 8 eyes,optic atrophy in 2 eyes.Retinal photocoagulation were performed in 7 eyes.Conclusion:Clinical features and history of contact with radiation are helpful to diagnose the radiation retinopathy.