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荧光素血管造影对视盘模糊的鉴别诊断(作者译)

[Differential diagnosis of blurred optic disks by fluorescein angiography (author's transl)].

作者信息

Kottow M

出版信息

Klin Monbl Augenheilkd. 1980 Dec;177(6):696-705. doi: 10.1055/s-2008-1057709.

Abstract

Fluorescein angiography has been underrated as an exploratory tool in the diagnosis of blurred optic disks. The ten cases presented here had blurred disks of diverse etiology; fluorescein angiography helped in the differential diagnosis and therapeutic approach. Irrigation of the disk, type, magnitude and location of dye leakage, as well as objectivation of peripapillary and retinal vascular characteristics all help to explain the pathogenic mechanisms leading to different types of optic disk edema. Although it is known tha papilledema due to increased intracranial pressure can not be differentiated from locally caused blurring of disks, there remain a number of mechanical, ischemic and inflammatory conditions that can be diagnosed by means of fluorescein angiography. Thus, optic neuritis, ischemic optic neuropathy, papillovasculitis and juxtapapillary chorioretinitis are some of the diseases in which chorioretinitis are some of the diseases in which angiography may help in differential diagnosis and lead to adequate therapeutic approaches.

摘要

荧光素血管造影术作为诊断视盘模糊的一种探索性工具一直未得到充分重视。本文呈现的10例病例视盘模糊病因各异;荧光素血管造影术有助于鉴别诊断和治疗。视盘的灌注、染料渗漏的类型、程度和位置,以及视乳头周围和视网膜血管特征的客观化,均有助于解释导致不同类型视盘水肿的致病机制。虽然已知颅内压升高引起的视乳头水肿无法与局部导致的视盘模糊相鉴别,但仍有许多机械性、缺血性和炎症性疾病可通过荧光素血管造影术进行诊断。因此,视神经炎、缺血性视神经病变、视乳头血管炎和邻近视乳头脉络膜视网膜病变等一些疾病,血管造影术可能有助于鉴别诊断并引导采取适当的治疗方法。

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