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Indocyanine green and fluorescein angiographies of multifocal posterior pigment epitheliopathy
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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:
- 脉络膜视网膜炎/病因学;脉络膜视网膜炎/诊断;色素上皮,眼/病因学;吲哚花青绿/诊断应用;荧光素血管造影术
Abstract： 目的 研究多发性后极部色素上皮病变(multifocal posterior pigment epitheliopathy,MPPE)的视网膜和脉络膜循环特点,探讨该病的发病机制及其与中心性浆液性脉络膜视网膜病变(central serous chorioretinopathy,CSC)之间的关系.方法 对6例MPPE患者的7只眼吲哚青绿血管造影(indocyanine green angiography,ICGA)和荧光素眼底血管造影(fundus fluorescein angiography,FFA)检查结果进行对比分析.结果 5例5只眼FFA检查为活动期,其中4只眼在ICGA造影早期有脉络膜充盈延迟,占80%.FFA显示有渗漏处,ICGA均有相应的渗漏灶.在渗漏灶的周围及后极部尚有弥漫性相对强荧光.病变恢复期,FFA已无明显渗漏,ICGA仍显示脉络膜荧光渗漏.结论 MPPE与CSC有着相同的ICGA改变,但前者病变范围更加广泛.MPPE为CSC的较严重型,为原发于脉络膜病变的疾病.
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