不典型中心性渗出性脉络膜视网膜病变的临床分析

Clinical features of central exudative chorioretinitis

目的 探讨不典型中心性渗出性脉络膜视网膜病变(中渗)的临床特征。方法 回顾性分析480例自1999年至今临床诊为中心性浆液性脉络膜视网膜病变患者(中浆)的临床资料，并复习其荧光眼底血管造影照片。结果 11例(2．3％)原临床诊为中浆病例者经荧光素眼底血管造影(fundus fluorescein angiography，FFA)检查证实为中渗。所有病例视力均较好(≥0．5)，病变均位于黄斑中心凹外或近黄斑中心凹，均没有出血，呈不典型眼底表现。年龄17～39岁，平均27．5岁。男性多见。结论 不典型中渗易误诊为中浆，FFA有助于两者的诊断与鉴别诊断。

Objective To Investigate clinical features of central exudative chorioretinitis in chinese patients. Methods A retrospective analysis of 480 consecutive patients previously diagnosed as central serous chorioretinopathy was performed. The data about the patients, including photogram, fluorescein were reviewed. Results 11 eyes （2.3%） initially suspected of having central serous chorioretinopathy in Clinical were ultimately diagnosed as having central exudative chorioretinitis by fundus fluorescein angiography（FFA）. The visual acuity in all patients was above 0. 5. The predominant location for the lesion were extrafovea or juxtafovea, and no hemorrhage. The mean age of patients was 27.5 years （range, 17-39 years）. Men were predominantly affected. Conclusion central exudative chorioretinitis always masqueraded as central serous chorioretinopathy, they were best identified with FFA.