中心性浆液性脉络膜视网膜病变荧光造影特点

Characteristics of fluorescein angiography in central serous chorioretinopathy

目的探讨45岁以上和45岁以下中心性浆液性脉络膜视网膜病变患者眼底荧光血管造影的特点。方法回顾分析147例173眼45岁以上中心性浆液性脉络膜视网膜病变的眼底荧光血管造影特点并与同期45岁以下中心性浆液性脉络膜视网膜病变的眼底荧光血管造影特点相比较。结果45岁以上38例,双眼发病5例,多灶渗漏12眼,形态改变以不典型渗漏及墨渍弥散型多见。45岁以下109例,双眼发病21例,多灶渗漏32眼,局灶渗漏98眼,以局灶渗漏为主。两者相比差异有统计学意义。结论45岁以上中心性浆液性脉络膜视网膜病变患者的眼底荧光血管造影表现以多灶渗漏及播散性色素上皮损害多见,但需与年龄相关性黄斑变性相鉴别,45岁以下以局灶性渗漏为主。

Objective To observe the characteristics of fluorescein angiography（FFA） in cases, aged 45 and below,with central serous chorioretinopathy（CSC）. Methods the FFA characteristics of CSC were analyzed retrospectively in cases over 45 and compared with that in cases below 45. Results Thirty - eight cases were above the age of 45,5 cases were bilateral, 12 eyes were muhifocal leakage ,and morphological changes were mainly atypical leakage and ink stain diffusion. 109 cases were below 45,21 cases were bilateral,32 eyes were muhifocal leakage,98 eyes were focal leakege, morphological changes were mainly focal leakege. They had a statistically significant difference. Conclusions The FFA characteristics of CSC were mainly multifocal leakage and disseminated pigment epithelial lesion in cases above 45 years old; diferential diagnosis should be made with age - related macular degeneration; the characteristics were mainly focal leakage in cases below 45 years old.