中心性浆液性脉络膜视网膜病变的屈光变化幅度与视力预后

The State of Diopter and Visual Acuity in Central Serous Chorioretinopathy

目的:探讨中心性浆液性脉络膜视网膜病变(CSC)患眼的屈光变化幅度及其与视力预后的关系。方法:对23例原为正视眼的单眼活动期CSC患眼作随访前后屈光状态及矫正视力的检测。随访时间3至12个月(平均7.2个月)。结果:随访前15只患眼(65.2％)呈轻度远视状态,而对侧健眼呈远视状态的为5只眼(21.7%),远视率在患眼与健眼的分布上差异有显著性意义(P<0.01)。随访后仅5只患眼(21.7%)仍呈远视状态,随访前后患眼远视率比较差异有显著性意义(P<0.01)。随访前经验光矫正视力增进3行或以上的患眼90.9％在随访后矫正视力可达到1.0或以上。结论:大部分CSC患眼由于黄斑区神经上皮脱落、水肿而呈暂时性的轻度远视;通过活动期患眼屈光状态及矫正视力的检测,对患眼视力预后的评价有一定的价值。眼科学报 2002;18:214-216.

Purpose: To investigate the state of diopter and best corrected visual acuity in active central serous chorioretinopathy(CSC). Methods: Twenty-three unilateral active CSC patients (23 eyes) were observed with Integrated Optometry Apparatus. The period of follow-up was from 3-12 months (mean, 7. 2 months). Results: Of the 23 patients, 15 eyes (65.2% ) of active CSC and 5 fellow eyes (21. 7% ) showed hyperopic state. There were significant differences in hyperopic state between the active eyes and fellow eyes ( P < 0. 01). After follow-up, there were only 5 eyes of CSC (21. 7% ) showed slight hyperopia. There were significant differences in hyperopic state between before and after follow-up of the eyes of CSC ( P < 0. 01) . Among the eyes of the best corrected visual acuities were increased 3 row or above, 90. 9% eyes of the best corrected visual acuities were resumed to 1.0. Conclusion: Most of the active CSC demonstrated temporary hyperopic state due to the neuroretinal detachment of macula. The best corrected visual acuities with the Integrated Optometry Apparatus in active CSC are useful in evaluating the final visual acuities of the eyes. Eye Science 2002; 18: 214 - 216.