中心性浆液性脉络膜视网膜病变荧光素眼底血管造影48例

目的:分析中心性浆液性脉络膜视网膜病变(central serous chorioretinopathy,CSC)的临床特征和荧光素眼底血管造影(fundus flurorescein angiography,FFA)特征。方法:对48例58眼CSC患者的视力、初诊年龄、双眼患病率、男女发病比例及FFA特征进行分析。结果:女CSC患病率比男低(1∶5.86);≤45岁的CSC患者30例35眼,其中双眼发病5例,FFA单灶渗漏17眼(48.6%),多灶渗漏9眼(25.7%),不典型渗漏9眼(25.7%);>45岁CSC患者18例23眼,其中双眼发病5例,FFA单灶渗漏2眼(8.7%),多灶渗漏11眼(47.8%),不典型渗漏10眼(43.5%)。两组比较具有非常显著差异(P<0.01)。结论:≤45岁FFA表现单灶渗漏及墨渍、喷出型渗漏。>45岁FFA灶型渗漏及色素上皮失代偿,双眼发病较年轻患者多见,复发者渗漏点多靠近原发灶。

Central serous chorioretinopathy fundus fluorescein angiography in 48 cases

·AIM:To analyze the clinical characteristics and fundus fluorescein angiography(FFA)characteristics of the central serous chorioretinopathy(CSC).·METHODS:Visual acuity,age of first treatment,prevalence of both eyes,male and female incidence ratio and FFA features of 48 CSC patients(58 eyes)were analyzed.·RESULTS:CSC prevalence of female was lower than that of male(1∶5.86);There were 30 CSC patients(35 eyes)≤ 45-year-old,with 5 cases of both eyes.FFA single leakage was in 17 eyes(48.6%),multi-lesion leakage in 9 eyes(25.7%),atypical leakage in 9 eyes(25.7%);18 CSC patients(23 eyes)were more than 45-year-old with 5 cases of both eyes.FFA single lesion leakage was in 2 eyes(8.7%),multi-lesion leakage in 11 eyes(47.8%),atypical leakage in 10 eyes(43.5%).The comparison between the two groups had significant differences(P<0.01).·CONCLUSION:≤ 45-year-old FFA performed a single lesion leakage and ink stains,spray-type leakage.>45-year-old FFA leakage and pigment epithelium-type lesions decompensation of both eyes were more common than younger patients,leakage in recurrence was near the original point.·