| 中心性浆液性脉络膜视网膜病变频域光学相干断层扫描 |
| |
| 引用本文： | 孙超,包欣,殷丽.中心性浆液性脉络膜视网膜病变频域光学相干断层扫描[J].中国交通医学杂志,2012,26(3). |
| |
| 作者姓名： | 孙超 包欣 殷丽 |
| |
| 作者单位： | 孙超 (南京医科大学附属无锡人民医院眼科,江苏,214023) ； 包欣 (南京医科大学附属无锡人民医院眼科,江苏,214023) ； 殷丽 (南京医科大学附属无锡人民医院眼科,江苏,214023) ； |
| |
| 基金项目： | 江苏省医学重点学科南通大学附属医院眼科开放课题资助项目 |
| |
| 摘 要： | 目的:探讨中心性浆液性脉络膜视网膜病变(CSC)形态学改变及其发病机制。方法:回顾性横断面观察研究,对43例(49眼)CSC患者进行FFA和频域光学相干断层扫描(SD-OCT)检查,并将两者结果对比观察。结果:呈典型FFA表现21只眼,OCT扫描均发现神经上皮脱离或色素上皮脱离或两者皆有。其中FFA中未发现任何异常荧光部位5只眼,在OCT中却可见局部色素上皮光带粗糙和小隆起。FFA中呈不典型的渗漏表现23只眼中,OCT扫描也发现神经上皮脱离或色素上皮脱离或两者皆有,其中局部视网膜色素上皮光带粗糙和小隆起表现8只眼。FFA中未见任何异常荧光的5只眼,其中OCT扫描却发现有只眼呈局限性浆液性神经上皮浅脱离,即视网膜的隐性渗漏。结论:CSC的发病机制可能为脉络膜循环障碍继发RPE损害。SD-OCT对FFA诊断和研究CSC有很好的补充甚至是替代作用。
|
| 关 键 词： | 中心性浆液性脉络膜视网膜病变 频域光学相干断层扫描 荧光素钠眼底血管造影术 |
Use of spectral-domam optical coherence tomography for observing the central serous chorioretinopathy |
| |
| Abstract: | Objective:To study the morphological changes and pathogenesis of the central serous chorioretinopathy(CSC).Methods:This was a retrospective cross-sectional observational study.Spectral-domain optical coherence tomography(SD-OCT) and fundus fluorescein angiography(FFA) were peformed in 43 cases(49 eyes) of CSC.Results:Neuroepithelial and/or retinal pigment epithelium detachment were found in 21 eyes with typical FFA and 23 eyes with non-typical leakage.Among 23 eyes with non-typical leakage we can find 8 eyes with rough surfaces of RPE.No fluorescence in 5 cases but shallow retinal neuroepithelial detachment leaking in 3 cases were found by SD-OCT.Conclusion:The pathogenesis of CSC may be choroid circulation disorders and secondary RPE damage.SD-OCT is an important complementary and even substitute examination of FFA for diagnosing and studying CSC. |
| |
| Keywords: | central seruous chorioretinopathy Spectral-domain optical coherence tomography fundus fluorescein angiography |
|
|
