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急性中心性浆液性脉络膜视网膜病变中荧光素血管造影渗漏部位的光学相干断层扫描模式

Optical coherence tomographic pattern of fluorescein angiographic leakage site in acute central serous chorioretinopathy.

作者信息

Hussain Nazimul, Baskar Arumugam, Ram Ls Mohan, Das Taraprasad

机构信息

Smt. Kanuri Santhamma Retina Vitreous Centre, L.V. Prasad Eye Institute, Andhra Pradesh, India.

出版信息

Clin Exp Ophthalmol. 2006 Mar;34(2):137-40. doi: 10.1111/j.1442-9071.2006.01171.x.

DOI:10.1111/j.1442-9071.2006.01171.x
PMID:16626427
Abstract

PURPOSE

To study the optical coherence tomography (OCT) pattern of the fluorescein angiographic leakage in acute central serous chorioretinopathy (CSCR).

METHODS

This is a non-interventional pilot case study. OCT line scan was performed over the fluorescein angiographic leak site in eyes clinically diagnosed acute CSCR. Clinical fundus photograph, site of leakage on fundus fluorescein angiography and corresponding OCT were analysed.

RESULTS

The mean age of 10 consecutive patients was 38.8 +/- 6.9 years. Six patients were male and the mean duration of symptom was 7 days. Six eyes (60%) showed a characteristic dipping pattern of neurosensory retina with intervening hyper-reflective echoes suggestive of fibrin over the leakage site. All these eyes had ink-blot leak and subretinal fibrin.

CONCLUSIONS

Ink-blot leak in acute CSCR with subretinal fibrin generates a dipping morphological pattern on OCT.

摘要

目的

研究急性中心性浆液性脉络膜视网膜病变(CSCR)中荧光素血管造影渗漏的光学相干断层扫描(OCT)模式。

方法

这是一项非介入性的试点病例研究。对临床诊断为急性CSCR的眼睛的荧光素血管造影渗漏部位进行OCT线扫描。分析临床眼底照片、眼底荧光素血管造影的渗漏部位及相应的OCT。

结果

连续10例患者的平均年龄为38.8±6.9岁。6例为男性,平均症状持续时间为7天。6只眼(60%)显示神经感觉视网膜有特征性的凹陷模式,在渗漏部位有介于其间的高反射回声,提示有纤维蛋白。所有这些眼睛均有墨迹样渗漏和视网膜下纤维蛋白。

结论

急性CSCR伴有视网膜下纤维蛋白的墨迹样渗漏在OCT上产生凹陷形态模式。

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