肥厚型脉络膜谱系疾病与脉络膜、涡静脉、巩膜改变的研究进展

Research progress on pachychoroid disease spectrum and changes in the choroid,vortex veins and sclera

肥厚型脉络膜谱系疾病(pachychoroid disease spectrum,PCD)包括肥厚型脉络膜色素上皮病变(pachychoroid pigment epitheliopathy,PPE)、中心性浆液性脉络膜视网膜病变(central serous chorioretinopathy,CSC)、肥厚型脉络膜新生血管病变(pachychoroid neovasculopathy,PNV)、息肉样脉络膜血管病变(polypoidal choroidal vasculopathy,PCV)、局灶性脉络膜凹陷(focal choroidal excavation,FCE)和盘周肥厚型脉络膜综合征(peripapillary pachychoroid syndrome,PPS)。有学者将PCD看作脉络膜功能障碍引发的一系列连续疾病过程,但关于PCD的发病机制、形态改变尚未明确。该文对PCD的脉络膜、涡静脉及巩膜相关改变做一综述。

Pachychoroid disease spectrum include pachychoroid pigment epitheliopathy,central serous chorioretinopathy,pachychoroid neovasculopathy,polypoidal choroidal vasculopathy,focal choroidal excavation,and peripapillary pachychoroid syndrome.Currently,some scholars regard pachychoroid disease spectrum as a series of continuous disease processes caused by choroidal dysfunction,but the pathogenesis and morphological changes of pachychoroid disease spectrum are not yet clear.This paper reviews the changes of choroid,vortex veins and sclera in pachychoroid disease spectrum.