孤立性脉络膜血管瘤的临床疗效观察

Observation on the clinical therapeutic efficacy of circumscribe choroidal hemangiomas

目的 :探讨孤立性脉络膜血管瘤的治疗疗效。方法 :回顾性分析 2 4例孤立性脉络膜血管瘤的临床资料。 2 4例中 ,男 17人 ,女 7人 ,平均年龄 43 2 9岁。全部患者均存在渗出性视网膜脱离 ,其中 ,6眼视网膜脱离为移动性。患者首选激光治疗 ,激光治疗无效并存在移动性视网膜脱离者行巩膜外冷冻治疗。患者平均随访 2 1 17月。结果 :无移动性视网膜脱离的 18眼 ,激光治疗后视力稳定或提高者占 94 5 %。瘤体表面仍有少量液体残存的共有 3眼( 12 5 % )均为黄斑中心下的血管瘤。有移动性视网膜脱离的 6眼最终均行冷冻治疗 ,冷冻术后周边液体吸收 ,5例视力下降。结论 :位于黄斑下的及伴有移动性视网膜下液的脉络膜血管瘤预后差。

Objective:To investigate the therapeutic efficacy of circumscribe choroidal hemangiomas. The clinical data of 24 cases,including 17 males,7 females (mean 43.29 years old),were retrospectively analyzed.Exudative retinal detachment(RD)was found in all patients,shifting retinal detachment in 6 cases.Photocoagulation was the primary treatment in all patients,Cryotherapy was indicated for the patients irresponsible to photocoagulation.Average follow up were 21.17 months. Results:After laser treatment,in 18 patients without shifting RD,visual acuity improved and stabilized in 94.5%,3 cases showed residual subretinal fluid in the macular area.Cryotherapy was performed in all 6 cases with shifting subretinal fluid.Complete resolution of peripheral subretinal fluid was achieved in all 6 cases.The visual acuity decreased in 5 cases. Conclusions:Subfoveolar hemangiomas and those complicated with shifting subretinal fluid were with poor prognosis.