目的:通过分析中心性浆液性脉络膜视网膜病变(Central Serous Chorioretinopathy,CSCR)的吲哚青绿血管造影(Indocyanine Green Angiography,ICGA)特征,探讨该病的病理特点及治疗机理。方法:使用海德堡血管造影仪对35例临床诊断为CSCR患...目的:通过分析中心性浆液性脉络膜视网膜病变(Central Serous Chorioretinopathy,CSCR)的吲哚青绿血管造影(Indocyanine Green Angiography,ICGA)特征,探讨该病的病理特点及治疗机理。方法:使用海德堡血管造影仪对35例临床诊断为CSCR患者进行ICGA及眼底荧光血管造影(FFA)同步分析,解释和讨论造影结果。结果:35例病例中,有29例(83％)在ICEA中发现的病灶超过FFA所见病灶数,25例(71.4％)为双眼,所有FFA的病灶处均有ICGA改变,且ICGA所见病灶范围大于FFA病变。结论:脉络膜通透性改变是中浆的早期改变,由此引起其上方视网膜色素上皮(RPE)功能失代偿和缺损可能是中浆的主要发病机制。中浆的激光和药物治疗效果和原理需要进一步探讨。眼科学报1999;15:81—84。展开更多
Background:Microsurgical replantation has become the most favorable treatment option for scalp avulsion.However,the accurate prediction of postoperative replant viability remains challenging.Case presentation:In this ...Background:Microsurgical replantation has become the most favorable treatment option for scalp avulsion.However,the accurate prediction of postoperative replant viability remains challenging.Case presentation:In this article,we showed that(indocyanine green angiography,ICGA)can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time.Conclusion:Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress.This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation.展开更多
息肉状脉络膜血管病变(PCV)是一种在亚洲人群中发病率较高的慢性进展性黄斑病变,其特点为视网膜下橘红色结节样病灶和吲哚青绿血管造影(indocyanine green angiography,ICGA)所显示的异常分支状脉络膜血管网及其末梢的息肉状脉络膜血管...息肉状脉络膜血管病变(PCV)是一种在亚洲人群中发病率较高的慢性进展性黄斑病变,其特点为视网膜下橘红色结节样病灶和吲哚青绿血管造影(indocyanine green angiography,ICGA)所显示的异常分支状脉络膜血管网及其末梢的息肉状脉络膜血管扩张灶。在过去数十年中,对PCV的理解有了突飞猛进的进展。展开更多
文摘目的:通过分析中心性浆液性脉络膜视网膜病变(Central Serous Chorioretinopathy,CSCR)的吲哚青绿血管造影(Indocyanine Green Angiography,ICGA)特征,探讨该病的病理特点及治疗机理。方法:使用海德堡血管造影仪对35例临床诊断为CSCR患者进行ICGA及眼底荧光血管造影(FFA)同步分析,解释和讨论造影结果。结果:35例病例中,有29例(83％)在ICEA中发现的病灶超过FFA所见病灶数,25例(71.4％)为双眼,所有FFA的病灶处均有ICGA改变,且ICGA所见病灶范围大于FFA病变。结论:脉络膜通透性改变是中浆的早期改变,由此引起其上方视网膜色素上皮(RPE)功能失代偿和缺损可能是中浆的主要发病机制。中浆的激光和药物治疗效果和原理需要进一步探讨。眼科学报1999;15:81—84。
基金supported by grants from the National Natural Science Foundation of China(81772086,8170120)the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant(20161424)+1 种基金Shanghai Sailing Program(16YF1403500,17YF1401900)China Postdoctoral Science Foundation(2018 M630449).
文摘Background:Microsurgical replantation has become the most favorable treatment option for scalp avulsion.However,the accurate prediction of postoperative replant viability remains challenging.Case presentation:In this article,we showed that(indocyanine green angiography,ICGA)can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time.Conclusion:Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress.This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation.
文摘息肉状脉络膜血管病变(PCV)是一种在亚洲人群中发病率较高的慢性进展性黄斑病变,其特点为视网膜下橘红色结节样病灶和吲哚青绿血管造影(indocyanine green angiography,ICGA)所显示的异常分支状脉络膜血管网及其末梢的息肉状脉络膜血管扩张灶。在过去数十年中,对PCV的理解有了突飞猛进的进展。
