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中心性渗出性脉络膜视网膜病变的治疗
引用本文:章余兰.中心性渗出性脉络膜视网膜病变的治疗[J].眼科研究,2011,29(11):1046-1050.
作者姓名:章余兰
作者单位:330006,南昌大学第二附属医院眼科
摘    要:中心性渗出性脉络膜视网膜病变(CEC)也称为特发性脉络膜新生血管,多见于中青年,表现为黄斑区孤立的脉络膜新生血管(CNV)。CNV可引起黄斑部的反复出血、渗出、瘢痕形成,严重影响患者的中心视力。该病病因不明,治疗主要针对CNV,目前临床治疗CEC的方法主要有:光动力疗法(PDT)、抗血管内皮生长因子(VEGF)类药物、糖皮质激素类药物、联合治疗、经瞳孔温热疗法(TTT)、激光治疗、放射治疗、手术治疗、中医治疗及基因治疗。就各种治疗方法及其机制等进行综述。

关 键 词:中心性渗出性脉络膜视网膜病变  特发性脉络膜新生血管  治疗

The treatment of central exudative chorioretinopathy
ZHANG Yu-lan.The treatment of central exudative chorioretinopathy[J].Chinese Ophthalmic Research,2011,29(11):1046-1050.
Authors:ZHANG Yu-lan
Institution:ZHANG Yu-lan, YOU Zhi-peng.( Department of Ophthalmology, The Second Affiliated Hospital of Nanchang University, Nanchang 330006, China)
Abstract:Central exudative chorioretinopathy( CEC),also known as idiopathic choroidal neovascularization (ICN),was more common in middle-aged,appearing the isolated macular choroidal neovascularization lesions ( CNV ).CNV can cause macular hemorrhage,exudativeing and scarring and therefore affect the patient' s central vision.The etiology of CEC is below understanding,and the treatment aimed at CNV.The clinical management of CEC include photodynamic therapy ( PDT),the administration of antibody of vascular epithelial growth factor ( VEGF ),adrenal glucocorticoid drug,combined therapy,transpupillary thermotherapy (TTT),laser photocoagulation,ratiotherapy,surgery,Chinese traditional medicine and gene therapy.The various treating approaches and their mechanisms were reviewed.
Keywords:Central exudative chorioretinopathy  Idiopathic choroidal neovascularization  Treatment
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