Vine A K, Johnson M W
W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, USA.
Eur J Ophthalmol. 1996 Jan-Mar;6(1):44-9. doi: 10.1177/112067219600600110.
Peripheral choroidal neovascularization can result in an elevated subretinal lesion which can simulate a choroidal tumor. We reviewed 8 eyes with 11 peripheral areas of subretinal fluid and exudate which were subsequently determined to be secondary to peripheral choroidal neovascularization. Previous reports of peripheral choroidal neovascularization have emphasized the hemorrhagic nature of these lesions which can simulate a choroidal melanoma. In contrast, turbid subretinal fluid and exudate characterized the majority of peripheral lesions in this series and the majority of these patients were referred with a diagnosis of choroidal metastasis. Clinical examination with fluorescein angiography and echography can effectively distinguish these areas of peripheral choroidal neovascularization from choroidal metastasis.
周边脉络膜新生血管可导致视网膜下病变隆起，这可能类似于脉络膜肿瘤。我们回顾了8只眼，这些眼有11个周边视网膜下液和渗出液区域，随后确定这些区域继发于周边脉络膜新生血管。此前关于周边脉络膜新生血管的报告强调了这些病变的出血性质，它们可能类似于脉络膜黑色素瘤。相比之下，本系列中大多数周边病变的特征是浑浊的视网膜下液和渗出液，并且这些患者大多数因脉络膜转移的诊断而被转诊。荧光素血管造影和超声检查的临床检查能够有效地区分这些周边脉络膜新生血管区域与脉络膜转移。
