中心性浆液性脉络膜视网膜病变的多模式影像研究进展

Research progress of multimodal imaging in central serous chorioretinopathy

中心性浆液性脉络膜视网膜病变(CSC)是一类以脉络膜血管扩张和高通透性、视网膜色素上皮病变及浆液性视网膜脱离为主要特征性表现的脉络膜视网膜病变,多种影像检查和成像技术对其视网膜、脉络膜各层次的特征进行了描述。不同类型CSC的眼底表现既有共性,也有各自特征性表现。CSC的分类及其与脉络膜新生血管、脉络膜肥厚谱系疾病谱中其他疾病的鉴别都离不开多种眼底影像检查技术。深入了解CSC尤其是慢性CSC多模式影像中的各类表现特征,对于广大眼科医师更加全面、直观地理解CSC的临床特征和潜在发病机制具有重要的临床意义。

Central serous chorioretinitis(CSC)is a kind of choroidal retinopathy characterized by choroidal vasodilatation and hyperpermeability,retinal pigment epithelial cell lesions and serous retinal detachment.Various imaging examinations and imaging techniques have been used to describe the characteristics of the retina and choroid.Fundus manifestations of different types of CSC has both generality,and have their respective characteristic.The classification of CSC and its differentiation from other diseases including the choroidal neovascularization and pachychoroidopathy spectrum depending on varieties of fundus imaging techniques.The current study aims to review the various performance characteristics of CSC especially for chronic CsC with multimodal imaging and the current research progress,so as to provide reference for ophthalmologists to more comprehensively and intuitively understand the clinical characteristics and potential pathogenesis of CSC,and also to provide basis for multimodal imaging assisted diagnosis and treatment.