放射性视网膜病变的临床观察

Clinical observation of radiation retinopathy

目的 :通过临床观察 ,分析放射性视网膜病变的临床表现特点。方法 :回顾分析 8例有确切放射线接触史患者的眼底临床表现、眼底荧光血管造影、吲哚青绿造影、视网膜光凝结果 ,随访变化情况 ,并与其常见眼底血管性病变进行比较。结果 :棉絮斑和毛细血管无灌注区 9只眼 ,硬性渗出 7只眼 ,出血斑 8只眼 ,2只眼视神经萎缩 ,7只眼接受视网膜光凝治疗。结论 :放射性视网膜病变临床表现有一定特征 ,结合病史可明确诊断。

Objective:To observe and analyse the clinical characters of radiation retinopathy.Methods:Cinical data of 8 patients with radiation retinopathy,routine ophthalmic examination and fundus fluorescein angiography and indocyanin green angiography were analysed retrospectively and the findings also compared with similar fundus disease.Results:Cotton-wool spots were found in 9 eyes,hard exudate in 7 eyes,hemorrhage in 8 eyes,optic atrophy in 2 eyes.Retinal photocoagulation were performed in 7 eyes.Conclusion:Clinical features and history of contact with radiation are helpful to diagnose the radiation retinopathy.