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黄斑息肉样脉络膜血管病变眼中无症状性脉络膜外节异常。

Asymptomatic extramacular abnormal choroidal lesions in eyes with macular polypoidal choroidal vasculopathy.

机构信息

Department of Ophthalmology, Kyungpook National University, Taegu, South Korea.

出版信息

Jpn J Ophthalmol. 2010 Jan;54(1):48-54. doi: 10.1007/s10384-009-0765-5. Epub 2010 Feb 12.

DOI:10.1007/s10384-009-0765-5
PMID:20151276
Abstract

PURPOSE

To classify polypoidal choroidal vasculopathy (PCV) presenting with both extramacular and macular lesions according to location and clinical manifestations.

METHODS

We performed a retrospective analysis of 29 eyes presenting with both extramacular and macular PCV lesions by indocyanine green angiography. The patients were classified according to the location of the extramacular lesions and clinical manifestations.

RESULTS

PCV locations were identified as peripapillary (32.1%), superior (10.7%) or inferior (17.9%) to the optic disc, superior (14.3%) or inferior (7.1%) temporal arcade, temporal to the macula (10.7%), and nasal to the optic disc (7.1%). Clinical manifestations were identified as polyp (10.7%), branching vascular networks (42.9%), pigment epithelial detachment (PED) (17.9%), polyp and branching vascular networks (7.1%), polyp and PED (14.3%), and all three (7.1%).

CONCLUSIONS

PCV showed extramacular lesions with various clinical manifestations discontinuous from the macular lesions.

摘要

目的

根据位置和临床表现对既有脉络膜息肉样血管病变(PCV)伴周边和黄斑病变的病例进行分类。

方法

我们对 29 只经吲哚青绿血管造影证实既有脉络膜息肉样血管病变伴周边和黄斑病变的患眼进行回顾性分析。根据周边病变位置和临床表现对患者进行分类。

结果

PCV 位置包括视盘旁(32.1%)、视盘上(10.7%)或视盘下(17.9%)、颞上弓(14.3%)或颞下弓(7.1%)、黄斑颞侧(10.7%)和视盘鼻侧(7.1%)。临床表现包括息肉(10.7%)、分支血管网(42.9%)、色素上皮脱离(PED)(17.9%)、息肉伴分支血管网(7.1%)、息肉伴 PED(14.3%)和三者均有(7.1%)。

结论

PCV 既有黄斑病变不连续的周边病变,且伴有多种临床表现。

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Asymptomatic extramacular abnormal choroidal lesions in eyes with macular polypoidal choroidal vasculopathy.黄斑息肉样脉络膜血管病变眼中无症状性脉络膜外节异常。
Jpn J Ophthalmol. 2010 Jan;54(1):48-54. doi: 10.1007/s10384-009-0765-5. Epub 2010 Feb 12.
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本文引用的文献

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Polypoidal choroidal vasculopathy in elderly Chinese patients.老年中国患者的息肉样脉络膜血管病变
Graefes Arch Clin Exp Ophthalmol. 2004 Aug;242(8):625-9. doi: 10.1007/s00417-003-0667-z. Epub 2004 Jun 29.
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Clinicopathological correlation of polypoidal choroidal vasculopathy revealed by ultrastructural study.经超微结构研究揭示的息肉样脉络膜血管病变的临床病理相关性
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Polypoidal choroidal vasculopathy: natural history.息肉样脉络膜血管病变:自然病程。
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