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血管样条纹。

Angioid streaks.

作者信息

Donaldson E J

出版信息

Aust J Ophthalmol. 1983 Feb;11(1):55-8.

PMID:6870682
Abstract

Angioid streaks were first described by Doyne in 1889. Gronblad proposed in 1929 that they followed disruption of the elastic layer of Bruch's membrane, having noted the association between angioid streaks and pseudoxanthoma elasticum. Several other diseases have been associated with angioid streaks, including Paget's disease and sickle cell disease. Angioid streaks are found predominantly in the 20 to 50 year age-group and may be associated with minimal visual loss, but the problem is the high risk of rapid development of subretinal neovascularisation at the macula with resultant haemorrhage and scarring. Prophylactic light coagulation along the angioid streaks to prevent subretinal neovascularisation is not recommended. However, light coagulation treatment to foci of subretinal neovascularisation is possible if the network is not too close to fixation. As recurrence of neovascularisation is to be expected, very careful follow-up is necessary.

摘要

血管样条纹于1889年由多伊恩首次描述。1929年,格伦布拉德提出它们是由于布鲁赫膜弹性层破裂所致,因为他注意到血管样条纹与弹性假黄瘤之间的关联。还有其他几种疾病与血管样条纹有关,包括佩吉特病和镰状细胞病。血管样条纹主要见于20至50岁年龄组,可能伴有轻微视力丧失,但问题是黄斑区视网膜下新生血管形成迅速发展的风险很高,会导致出血和瘢痕形成。不建议沿血管样条纹进行预防性光凝以预防视网膜下新生血管形成。然而,如果新生血管网络不太靠近注视点,对视网膜下新生血管病灶进行光凝治疗是可行的。由于预计会出现新生血管复发,因此必须进行非常仔细的随访。

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Angioid streaks.血管样条纹。
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