中心性浆液性脉络膜视网膜病变的吲哚青绿和荧光素眼底血管造影

Indocyanine green and fundus fluorescein angiography in central serous chorioretinopathy

目的 观察中心性浆液性脉络膜视网膜病变 (central serous chorioretinopathy,CSC)的吲哚青绿血管造影 (indocyanine green angiography,ICGA)特征。 方法 用共焦激光扫描眼底血管造影仪对 70例 CSC患者进行荧光素眼底血管造影 (fundus fluorescein angiography,FFA)与 ICGA同步检查。 结果 79只眼 FFA检查有视网膜色素上皮 (retinal pigment epithelium,RPE)渗漏。 ICGA检查 2 3只眼的脉络膜血管充盈迟缓 ;79只患眼有脉络膜血管扩张充血 ;78只眼的 RPE渗漏处有脉络膜血管的通透性增高 ;2 7只对侧健眼有同样的改变 ;19只患眼和 6只健眼有 RPE脱离 ;2 1只眼有 RPE的色素脱失、萎缩和 /或带状萎缩。 结论 脉络膜血管异常是 CSC的基本 ICGA特征。

Objective [WT5”BZ]To investigate the characteristics of indocyanine green angiography(ICGA) in central serous chorioretinopathy(CSC). Methods The simultanous fundus fluorescein angiography(FFA) and ICGA were performed on 79 eyes of 70 consecutive patients with Heidelberg Retina Angiography. Results Seventy nine eyes in FFA revealed RPE leakages.The changes of ICGA showed a small localized delay of filling of choroid vessels during the early phase of angiography in 23 eyes,choroidal capillary congestion in 79 eyes,the choriodal capillary hyperpermeability in the area of RPE leakage in 78 eyes,pigment epithelial detachment in 25 eyes and RPE atrophy in 21 eyes. Conclusion The findings in this research indicate that the choroidal abnormalities are the basic characteristics of ICGA in CSC.