摘要
目的:观察病理性近视黄斑病变的影像学表现,探讨其形态学改变的特征。方法:对67例(90眼)病理性近视性黄斑病变患者进行光学相干断层扫描术(OCT)、荧光素眼底血管造影(FFA)检查,必要时行吲哚菁绿血管造影(ICGA)。结果:病理性近视性黄斑病变的常见表现有表现8种类型:(1)漆裂纹性黄斑病变:12例18眼,占20%;(2)黄斑前膜性黄斑病变:6例9眼,占10%;(3)Fuchs斑性黄斑病变:5例8眼,占8.9%;(4)黄斑出血性黄斑病变:22例28眼,占31.1%;(5)黄斑萎缩性黄斑病变:9例14眼,占15.6%;(6)黄斑劈裂性黄斑病变:6例6眼,占6.7%;(7)黄斑裂孔性视网膜病变:4例4眼,占4.4%;(8)视网膜脱离性黄斑病变:3例3眼,占2.7%。结论:OCT能直观、清晰地显示病理性近视黄斑病变形态;FFA能更准确地确定病变的性质,推测预后,并指导临床治疗。
Objective：To observe the charateristics of pathological myopia image, explore the macular morphology change.Method：67 cases（90 eyes） with pathologic myopia maculopathy were examined by optical coherence tomography（OCT）,fundus fluorescein angiography（FFA）. Indocyanine green angiography（ICGA） was done if need be.Result：The fundus changes of the pathologic myopia were divided into 8 types：（1）pathologic myopia with lacquer cracks,18 eyes in the 12 cases（20%）;（2）pathologic myopia with macular epiretinal membrane,9 eyes in the 6 cases（10%）;（3）pathologic myopia with fuchs spots,8 eyes in the 5 cases（8.9%）;（4）pathologic myopia with macular hemorrhage,28 eyes in the 22 cases（31.1%）;（5）pathologic myopia with macular atrophy,9 eyes in the 14 cases（15.6%）;（6）pathologic myopia with macular retinoschisis,6 eyes in the 6 cases（6.7%）;（7）pathologic myopia with macular hole,4 eyes in the 4 cases（4.4%）;（8）pathologic myopia with retina detachment,3 eyes in the 3 cases（2.7%）.Conclusion：OCT can observe microstructure of the macular morphology, but FFA and ICGA is quite useful in identifying the nature of disease,evaluating the progonosis and guiding the treatment.
出处
《中国医学创新》
CAS
2015年第3期31-33,共3页
Medical Innovation of China
基金
河南省科技攻关项目(142102310154)
郑州市2011年度科技发展计划(112PPTSF300-1)
关键词
病理性近视
黄斑病变
光学相干断层扫描
荧光血管造影技术
Pathological myopia
Macular degeneration
Optical coherence tomography
Fluorescence angiography technology
