视盘旁脉络膜炎眼底改变及荧光眼底血管造影的特征

Characteristics of clinic and fluorescein angiogram of juxtapapillary choroiditis

目的探讨视盘旁脉络膜炎(Jensen病)的眼底改变及荧光眼底血管造影(FFA)的特征。方法分析11例(12只眼)Jensen病患者的临床特征和FFA表现。结果11例患者均为近视。眼底可见视盘旁的灰白色局限性脉络膜渗出病灶,边界不清,轻度隆起;FFA早期为低荧光,后期荧光渗漏和染色;非活动病灶荧光着染,萎缩区可见大的脉络膜血管。结论Jensen病多发生于近视患者,以青壮年多见,多为单眼发病,可复发。眼底表现有特征性,FFA检查有助于了解病变进展和活动程度,指导临床治疗。

Objective To observe the clinical manifestations and features of fluorescein angiograms （FFA） of patients with Jensen＇ s juxtapapillary choroiditis. Methods 11 cases （12 eyes） with juxtapapillary choroiditis were collected. The clinical manifestations and the images of FFA were analyzed. Results All of the 11 cases had myopia with local choroidal exudation in juxtapapillary of the fundus. The images of FFA showed hypofluorescence at the early phase and fluorescein leakage at the late phase in the active focus ,and fluorescein staining in the inactive focus. Conclusion Juxtapapillary choroiditis are mostly diagnosed in the young with myopia. Most of the patients had monocular characteristic affection of the fundus. FFA was conducive to knowing the development of the disease clearly, which may guide the treatment.