32例高度近视眼黄斑病变眼底荧光造影分析

目的:观察高度近视眼黄斑病变眼底荧光造影(FFA)的表现特征。方法:选择-6.00D以上12～75岁的患者92例126眼行FFA检查,根据FFA的表现进行总结分析。结果:出现黄斑病变32眼(25.4%),其中漆样裂纹性黄斑病变19眼(15.1%),漆样裂纹性黄斑出血6眼(4.8%),高度近视眼黄斑区视网膜下新生血管4眼(3.2%),高度近视眼黄斑裂孔3眼(2.4%)。结论:高度近视眼的眼底黄斑部改变复杂多变,FFA的检查可明确病变的位置和性质,利于判断预后及指导治疗。

Fundus fluorescein angiography analysis of the maculopathy in patients with high myopia

Objective:To observe the fundus fluoresecein angiography(FFA) features of patients with high myopia.Methods:126 eyes of 92 patients aged from 12 to 75 with high myopia of above-6.0 D were performed FFA check and analysis in terms of FFA performance.Results:Maculopathy occurred in 32 eyes(25.4%),of which,19 eyes(15.1%) were with lacquer crack macular lesion,6(4.8%) with lacquer crack macular hemorrhage,4(3.2%) with subretinal neovascular membrane in macular areas of high myopia and 3(2.4%) with macular hole.Conclusion:Factors to cause fundus macular changes of high myopia are various,but FFA examination can detect the locations and features of the lesions which is helpful for evaluating the prognoses and guiding the treatments of high myopia.