Bardenstein D S, Char D H, Irvine A R, Stone R D
Department of Ophthalmology, University of California, San Francisco 94143.
Ophthalmology. 1992 Jun;99(6):944-51. doi: 10.1016/s0161-6420(92)31870-6.
The purpose of this study is to identify clinical, ultrasonographic, and fluorescein angiographic features of extramacular disciform lesions that allow differentiation from uveal tumors.
This was a retrospective study of 19 patients referred to our ocular oncology unit with a possible malignancy who had a diagnosis of an extramacular disciform lesion made after complete evaluation.
The level of accuracy for each diagnostic technique alone was as follows: clinical (79%), ultrasonography (83%), and angiography (83%). Fluorescein angiography had limited utility because of severe media opacities in seven cases. No tumor developed an intraocular malignancy during the follow-up period.
A combination of the above, noninvasive techniques can be used to correctly diagnose extramacular disciform lesions.
本研究旨在确定黄斑外盘状病变的临床、超声和荧光素血管造影特征，以便与葡萄膜肿瘤相鉴别。
这是一项对19例转诊至我们眼科肿瘤科、可能患有恶性肿瘤的患者进行的回顾性研究，这些患者在全面评估后被诊断为黄斑外盘状病变。
每种诊断技术单独的准确率如下：临床（79%）、超声检查（83%）和血管造影（83%）。由于7例患者存在严重的介质混浊，荧光素血管造影的效用有限。在随访期间，没有肿瘤发展为眼内恶性肿瘤。
上述非侵入性技术联合使用可正确诊断黄斑外盘状病变。
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