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Characteristics Indocyanine green angiography in Vogt-Koyanagi-Harada syndrome

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
Issue:
1
DOI:
10.3760/cma.j.issn.1001-4497.2000.01.046
Key Word:
视网膜炎,色素性/诊断;葡萄膜脑膜脑炎综合征/诊断;荧光素血管造影术;吲哚花青绿/诊断应用

Abstract: 目的 探讨利用吲哚青绿血管造影(indocyanine green angiography,ICGA)检查作为伏格特小柳原田(Vogt-Koyanagi-Harada,VKH)综合征临床观察指标的意义.方法 对26例VKH患者荧光素眼底血管造影(fundus fluorescein angiography,FFA)和ICGA检查资料进行分析.结果 FFA表现为色素上皮水平多数针尖状渗漏,快速形成多湖状荧光积存.治疗后上述改变很快消失.葡萄膜炎期ICGA表现:①66.7%的患眼为多数灶状弱荧光区域和脉络膜大、中血管荧光影像减少;②70.8%的患眼脉络膜血管扩张;③79.2%的患眼为造影后期显示灶状强荧光区.在病变恢复期,与FFA检查比较,ICGA的异常发现恢复缓慢.结论 ICGA 可较好提供VKH的脉络膜循环损害的信息,并在评价疗效上有意义.

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