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Characteristics of fundus angiograms of central serous chorioretinopathy and exudative age-related macular degeneration in patients more than 45
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
- Issue:
- 6
- DOI:
- No doi available
- Key Word:
- 脉络膜视网膜炎/诊断;脉络膜疾病/诊断;黄斑变性;荧光素血管造影术;吲哚花青绿/诊断应用
Abstract： 目的 观察45岁以上的中心性浆液性脉络膜视网膜病变(CSC)与渗出型老年性黄斑变性(AMD)患者眼底血管造影图像特征的异同.方法 回顾分析45岁以上CSC患者32例39只眼和渗出型AMD患者20例22只眼的眼底彩色像、荧光素眼底血管造影(FFA)和吲哚青绿血管造影(ICGA)检查资料.结果 39只CSC眼中,FFA显示典型CSC 11只眼,占28.2%;扩散性视网膜色素上皮病变(DRPE)28只眼,占71.8%.ICGA显示39只眼早期脉络膜充盈迟缓及随后的脉络膜血管扩张,占100%;中期均有多灶性脉络膜血管通透性增强,占100%,16只眼中后期呈现渗漏点强荧光,占41.0%;后期5只眼见脉络膜大血管负影,占12.8%.22只未伴明显出血的渗出型AMD眼中,ICGA显示焦点状脉络新生血管(CNV)13只眼,占59.1%;斑状CNV 8只眼,占36.4%;结合型CNV 1只眼,占4.5%.造影早期5只眼黄斑区及周围脉络膜血管代偿性扩张,占22.7%;中期均未见脉络膜血管通透性增强,后期均未见脉络膜大血管负影.结论 45岁以上的CSC与渗出型AMD不同的1CGA特征为局灶性或多灶性的RPE渗漏点强荧光;多灶性脉络膜血管通透性增强;造影后期脉络膜血管负影;造影期间无焦点状或斑状CNV性强荧光.
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