630例特发性中心性浆液性脉络膜症临床分型分期和发病机理探讨

Exploration of Clinical Types and Stages and Pathogenesis of 630 Cases of Idiopathic Central Serous Choroidopathies

通过对630例(756眼)确诊为特发性中心性浆液性脉络膜症患者的临床分析,主要依据荧光眼底血管造影将其分为典型型(圆形、扩大型、喷出型),非典型型(急性色素上皮炎型、广泛性色素上皮损害型、玻璃疣型、脉络膜三角症侯群型)。临床分为急性期、迁延期、痊愈期。其发病机理为脉络膜轻度缺血,CC-Bruch-RPE复合体功能失调,脉络膜静脉衰竭。

Analysing 630 clinical cases (756 eyes) of idiopathic central serochoroidopathies, the authors suggest that they are divided into typical casess (such as roundexpanding cases and spurting cases) and nontypical cases (such as acute pigmente pithelitis cases, wide pigmentary epithelium injury cases, drusen cases and choroid triangle symptoms cases) by fluorescein angiograplny, and derided into acute stage, mend stage and recovery stage by their clinical characteristics. Their pathogenesis presented as light choroid lack of blood and CC-Bruch-RPE complex body dysfunction and failure vein of choroid.