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[中心性浆液性脉络膜病变。长期研究]

[Central serous choroidopathy. Long term study].

作者信息

Torrón C, Melcon B, Ferrer E, Ruiz O, Oliván J M, Honrubia F M

机构信息

Servicio de Oftalmología, Hospital Miguel Servet, Zaragoza, España.

出版信息

Arch Soc Esp Oftalmol. 2000 Feb;75(2):103-8.

PMID:11151128
Abstract

PURPOSE

To investigate the demographic characteristics, clinical findings and long-term outcome of central serous chorioretinopathy (CSC).

METHODS

This study examined retrospectively the clinical stories and fluorescein angiographies of 113 patients with CSC and a minimum follow-up of 12 months.

RESULTS

A total of 113 patients was examined; 90 were men and 23 women. Bilateral involvement was found in 13 cases. In 85.7% of the eyes (Group I) resolution was completed in months and mean final visual acuity (VA) was 79.3/100, while 14.3% of the eyes (Group II) showed a chronic evolution, with diffuse retinal pigment epithelipathy and mean final VA of 47.2/100. The mean age of the patients in Group II was significantly higher; male:female ratio was also higher in this Group. Bilateral involvement occurred in 6% of patients from Group I and in 46.6% in Group II.

CONCLUSIONS

Chronic CSC affected less than 15% of the patients. Mean age in this group of patients was higher than in patients with a classic CSC, most of the cases were men, bilateral involvement was present in nearly 50% of the cases and 50% of them suffered a significant visual permanent impairment.

摘要

目的

研究中心性浆液性脉络膜视网膜病变(CSC)的人口统计学特征、临床发现及长期预后。

方法

本研究回顾性分析了113例CSC患者的临床病历及荧光素血管造影结果,且至少随访12个月。

结果

共检查了113例患者,其中男性90例,女性23例。发现13例为双侧受累。85.7%的患眼(I组)在数月内病情好转,最终平均视力(VA)为79.3/100,而14.3%的患眼(II组)呈慢性进展,伴有弥漫性视网膜色素上皮病变,最终平均视力为47.2/100。II组患者的平均年龄显著更高,该组的男女比例也更高。I组6%的患者双侧受累,II组为46.6%。

结论

慢性CSC累及不到15%的患者。该组患者的平均年龄高于典型CSC患者,大多数病例为男性,近50%的病例双侧受累,其中50%的患者视力出现严重永久性损害。

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