Hussain D, Gass J D
Department of Ophthalmology and Visual Sciences, Vanderbilt University School of Medicine, Nashville, USA.
Indian J Ophthalmol. 1998 Sep;46(3):131-7.
Idiopathic central serous chorioretinopathy (ICSC) is usually seen in young males with Type A personality. Clinical evaluation of the macula with fundoscopy and biomicroscopy, coupled with fluorescein angiography establishes the diagnosis. Indocyanine green angiographic studies have reinformed that the basic pathology lies in choriocapillaries and retinal pigment epithelium. Most of the ICSC resolve completely in four months, and some of them could resolve early with direct photocoagulation of the leaking site. Oral steroids have no role, and could even cause an adverse reaction.
特发性中心性浆液性脉络膜视网膜病变(ICSC)通常见于A型人格的年轻男性。通过眼底镜检查和生物显微镜检查对黄斑进行临床评估,结合荧光素血管造影可确诊。吲哚菁绿血管造影研究再次表明,其基本病理改变在于脉络膜毛细血管和视网膜色素上皮。大多数ICSC在四个月内可完全消退,其中一些通过对渗漏部位进行直接光凝可早期消退。口服类固醇无效,甚至可能引起不良反应。