多灶性脉络膜炎的临床表现及眼底血管造影特征

Clinical manifestation and characteristics of fluorescein angiography of multifocal choroiditis

目的：探讨多灶性脉络膜炎（MC）的临床特征，指导诊疗。方法：总结了经眼底检查、荧光血管造影（FFA）和吲哚青绿（IC-GA）确诊为MC10例患者13只眼的临床资料。结果：10例患者近视者9例女性占8例。眼底表现均在后极部网膜上散在分布多个或几十个大小不一的灰黄色圆形或椭圆形病灶，有3只眼伴发了黄斑部新生血管膜（CNV）。荧光造影显示病灶早期低荧光，后期高荧光或荧光渗漏。结论：MC少见且易复发、多见于患有近视的年轻女性。应详细分析临床表现及血管造影特征，避免误诊。

Objective：To observe the clinical manifestations and features of multifocal choroiditis and guide the diagnosis and treatment . Methods：The data of 10 patients （13 eyes） were collected by fundus examination and fluorescein angiography （FFA） or indocyanine green angiography （ ICGA） , and their clinical manifestations and results of FFA were analyzed and valued .Results：Multiple round to oval lesions scattered throughout the posterior pole and peripheral areas of ocular fundi of all the 10 patients（9 myopia, 8 female）.Choroidal neovascu-larization （CNV） in macular area was found in 3 patients.The images of FFA of the legions showed hypofluorescence in the early phase , leakage or hyperfluorescence in the late phase .Conclusion：MC is a rare and easily recurrent disease , the disease is often seen in the young women with myopia .It mightbe supposed to analyze the clinical manifestations and the features of FFA to avoid misdiagnosis .