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1型人类嗜T细胞病毒葡萄膜炎患者的吲哚菁绿血管造影术

Indocyanine green angiography in patients with human T cell-lymphotropic virus type 1 uveitis.

作者信息

Sakurai Toshiya, Yukawa Eiichi, Hara Yoshiaki, Miyata Norio, Mochizuki Manabu

机构信息

Tane Memorial Eye Hospital, Osaka, Japan.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2002 Feb;240(2):101-5. doi: 10.1007/s00417-001-0389-z.

DOI:10.1007/s00417-001-0389-z
PMID:11931073
Abstract

PURPOSE

To determine the indocyanine green (ICG) angiographic features and to evaluate the choroidal involvement of human T-cell lymphotropic virus type 1 (HTLV-1)-associated uveitis.

METHODS

We performed ICG angiography using scanning laser ophthalmoscopy in 54 eyes of 27 patients (8 men and 19 women) diagnosed with HTLV-1 uveitis. The patient's mean age was 51.5 years with a range of 24-65 years.

RESULTS

The early phase of ICG angiography revealed ICG leakage from the choroidal vessels in the posterior pole, hyperfluorescent spots that which were not detected with fluorescein angiography, and small hypofluorescent lesions in the macula which most likely corresponded to microcirculatory disturbances in the choriocapillaris.

CONCLUSIONS

We suggest that the ICG angiographic findings reflect choroidal lesions such as infiltration with leukocytes and edema. ICG angiography may provide useful information on choroidopathy in HTLV-1 uveitis.

摘要

目的

确定吲哚菁绿(ICG)血管造影特征,并评估1型人类嗜T淋巴细胞病毒(HTLV-1)相关性葡萄膜炎的脉络膜受累情况。

方法

我们对27例(8例男性和19例女性)诊断为HTLV-1葡萄膜炎患者的54只眼进行了扫描激光眼底镜吲哚菁绿血管造影。患者的平均年龄为51.5岁,范围在24至65岁之间。

结果

ICG血管造影的早期阶段显示后极部脉络膜血管有ICG渗漏、荧光素血管造影未检测到的高荧光斑点,以及黄斑区的小低荧光病变,这些病变很可能与脉络膜毛细血管的微循环障碍相对应。

结论

我们认为ICG血管造影结果反映了脉络膜病变,如白细胞浸润和水肿。ICG血管造影可能为HTLV-1葡萄膜炎的脉络膜病变提供有用信息。

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