OCT与FFA在中心性浆液性脉络膜视网膜病变诊断中联合应用分析

The application of coherent tomography and fluorescent fundus angiography in central serous chorioretinopathy

目的探讨相干光断层扫描（OCT）联合荧光素眼底血管造影（FFA）在中心性浆液性脉络膜视网膜病变（central serous chorioretinopathy，CSC）检查中的临床意义。方法对经荧光素眼底血管造影确诊的27例（28只眼，35个渗漏点）CSC患者进行OCT检查。结果35个渗漏点中，OCT检查发现23眼（28个渗漏点）为神经上皮层脱离，2只眼（3个渗漏点）为色素上皮层脱离，2只眼（4个渗漏点）为神经上皮层脱离伴色素上皮层脱离。结论FFA和OCT在对CSC的诊断上各具优势，FFA可定位渗漏点，反映疾病的范围和程度，利于激光治疗。OCT可定性定量检查CSC，并指导激光治疗。两者结合可以更有效的诊断和治疗CSC。

ObJective To explore th0 clinical significance of OCT （coherent tomography） along with FFA （fluorescent fundus angiography） in central serous chorioretinopathy （CSC）. Methods Twenty-seven patients （28 eyes and 35 leakage SpOtS） diagnosed C8C by fiuorescent fundus angiography were sent to OCT inspection. Results OCT examination found that 23 eyes （28 leakage spots） showed serous neurosensory detachment. 2 eyes （3 leaketge spots） appeared retinal pigment epithelial detachment and 2 eyes （4 leakage spots） combined neurosensory detachment with retinal pigment epithelial detachment in 28 eyes （35 leakage spots） with CSC. Conclustions FFA can point the leakage spots, reflect the extent and degree of disease, beneficial to the treatment, OCT can qualitative and quantitative check CSC and instruct the laser treatment, CSC can be ,better diagnosed and treated by the combination of FFA and OCT,