中心性浆液性脉络膜视网膜病变荧光血管造影检查分析

An Analysis of Central Serous Retinopathy by Fundus Fluorescein Angiography

1988年10月～1992年10月共收治临床诊断为中心性浆液性脉络膜视网膜病变的患者123例。行荧光血管造影73例(87眼),其中60例(67眼)被确诊为本病。临床与造影诊断符合率为77.01％,临床误诊占22.99％。研究表明:荧光造影表现有渗漏者较无渗漏者多见;荧光造影表现与病程关系密切。对临床误诊的原因进行了讨论。

Presented in this paper is a review of data of 123 patients with 'central serous retinopathy'admitted to the Department of Ophthalmology of our hospital from Oct. 1988 to Oct. 1992. Eighty-seven eyes from 73 patients were examined by fundus fluorescein angiogrephy and 67 eyes from 60 patients were definitely diagnosed as having central serous retinopathy. Coincidence rate between clinical impression and angiography diagnosis was 77. 01% ,namely,22. 99% of cases were misdiagnosed with clinical impression. The angiography revealed that there were more cases with exudation of fluorescein than those without. Close correlations have been found between the findings of angiography and the progress of disease. The causes of misdiagnosis were also discussed.