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[血管样条纹及相关病变:检眼镜及荧光素血管造影解读]

[Angioid streaks and associated lesions: ophthalmoscopic and fluorescein angiographic interpretation].

作者信息

Giuffrè G

出版信息

J Fr Ophtalmol. 1986;9(12):811-24.

PMID:3571840
Abstract

Angioid streaks are characteristic and well known lesions of the fundus of the eye. They are frequently associated with other less known chorioretinal lesions. In order to investigate the incidence and the clinical importance of these latter lesions, the photographs and the fluorescein angiographies of the 24 fundi of 12 patients with angioid streaks were studied. The lesions associated with the angioid streaks are light areas along the streak, red paired spots, fundus peau d'orange, salmon spots, optic disc drusen and macular atrophic and exudative-hemorrhagic degenerations. The comparison between the photographs and the fluorescein angiographies of the fundus allows to deduce, in many cases, the anatomic lesion that causes the clinical appearance of the various kinds of angioid streaks and the associated lesions. Although the misinterpretation of these results sometimes led to inaccurate speculations about the nature and the pathogenesis of the angioid streaks and the associated lesions, it is important to point out that lacking histopathological reports that would clarify the true nature of the lesions associated with the angioid streaks, ophthalmoscopy and fluorescein angiography are the only methods helpful to reveal the basic lesions.

摘要

血管样条纹是眼底特征性且广为人知的病变。它们常与其他不太知名的脉络膜视网膜病变相关。为了研究这些后者病变的发生率及临床重要性,对12例有血管样条纹患者的24只眼的眼底照片及荧光素血管造影进行了研究。与血管样条纹相关的病变有条纹处的浅色区、红色成对斑点、眼底橘皮样改变、鲑鱼斑、视盘玻璃膜疣以及黄斑萎缩性和渗出性 - 出血性变性。眼底照片与荧光素血管造影之间的比较在许多情况下可推断出导致各种血管样条纹及相关病变临床表现的解剖学病变。尽管对这些结果的错误解读有时会导致对血管样条纹及相关病变的性质和发病机制产生不准确的推测,但必须指出的是,由于缺乏能阐明与血管样条纹相关病变真实性质的组织病理学报告,检眼镜检查和荧光素血管造影是有助于揭示基础病变的唯一方法。

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