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[鸟枪样视网膜脉络膜病变。病例报告]

[Birdshot retinochoroidopathy. Case report].

作者信息

Lommatzsch P K, Ulrich W D, Ulrich C, Kohlmann H, Wagner H

机构信息

Augenklinik, Bereiches Medizin der Karl-Marx-Universität, Leipzig, Bunderepublik Deutschland.

出版信息

Fortschr Ophthalmol. 1990;87(6):562-6.

PMID:2086394
Abstract

The clinical findings and results of perfusion-pressure videoangiography (PVA) are described in a 50-year old patient suffering from birdshot retinochoroidopathy. PVA according to Ulrich and Ulrich makes it possible to observe the gradual filling of the retinal and choroidal vessels relative to ocular perfusion pressure. The patient's PVA reveals that the fluorescein penetrates the vessel wall in the interstitial tissue in the region of the large choroidal arterioles close to the entry of the short posterior ciliary arteries in the eye. This occurs long before the blood flow has reached the choriocapillaries, i.e., at distinctly lower perfusion pressures than are necessary for filling the leaking choroidal capillaries. The leakage of fluoresceine from the large choroidal arterioles explains the typical birdshot pattern of the fundus.

摘要

本文描述了一名患有鸟枪弹样视网膜脉络膜病变的50岁患者的临床检查结果及灌注压视频血管造影(PVA)结果。根据乌尔里希和乌尔里希的方法进行的PVA可以观察到视网膜和脉络膜血管相对于眼灌注压的逐渐充盈情况。该患者的PVA显示,荧光素在靠近眼球后睫状动脉入口处的大脉络膜小动脉区域的间质组织中穿透血管壁。这一情况早在血流到达脉络膜毛细血管之前就已发生,即在明显低于充盈渗漏性脉络膜毛细血管所需的灌注压时就出现了。大脉络膜小动脉中荧光素的渗漏解释了眼底典型的鸟枪弹样表现。

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