中心性浆液性脉络膜视网膜病变的微视野检查

目的:探讨中心性浆液性脉络膜视网膜病变(Centralserouschorioretinopathy,CSC)的微视野检查特征。方法:应用MP-1微视野计(MP-1NidekTechnologies,Vigonza,Italy)检测了19例(21只眼)CSC患者,年龄30～50岁,平均(39.3±6.8)岁。其中迁延型5只眼、急性型6只眼、恢复型5只眼、复发型5只眼。其中视力≥1.0的10只眼、0.6～0.9的6只眼、≤0.5的5只眼。正常对照20例(20只眼),年龄30～50岁,平均年龄(37.6±6.7)岁。记录患眼和正常眼的固视情况,以及中心20°的光敏感度。结果:不同类型及不同视力的患眼与正常眼的2°固视率和4°固视率差异无显著性意义。不同类型及不同视力的患眼与正常眼相比,黄斑20°视网膜平均光敏感度(Meansensitivity,MS)明显下降,差异具有显著性意义(P<0.05)。不同类型及不同视力患眼之间的视网膜MS差异具有显著性意义(P<0.05)。结论:MP-1微视野计检查可以量化地评价CSC患眼的固视情况和黄斑区MS,进一步提高了患眼的功能评价。

Microperimetry Evaluation in Central Serous Chorioretinopathy

PURPOSE: To evaluate the macular fixation and retinal sensitivity of Central Serous Chorioretinopathy (CSC) with MP-1 microperimeter (Nidek Technologies, Vigonza, Italy). METHODS: Nineteen consecutive patients (total 21 eyes; 5 eyes of chronic stage, 6 eyes of acute stage, 5 eyes of recovering stage, and 5 eyes of recurring stage; 10 eyes of visual acuity no less than 1.0, 6 eyes of 0.6-0.9 and 5 eyes of no better than 0.5)and 20 normal control subjects (20 eyes) were evaluated. MP-1 microperimeter was used to quantify macular sensitivity and fixation. RESULTS: The difference of fixation between the CSC and the control eyes is not significant (P > 0.05). The retinal sensitivity in CSC declined significantly (P < 0.05) and varied significantly in different groups(P < 0.05). CONCLUSION: MP-1 microperimeter can quantifiably evaluate the fixation and macular sensitivity of CSC. Moreover, it improves the functional evaluation in CSC.