Makabe R, Gümbel H
Universitäts-Augenklinik Frankfurt/M.
Ophthalmologe. 1995 Oct;92(5):654-6.
Since 1969, 1,179 eyes with central serous chorioretinopathy have been examined with fluorescein fundus angiography. The classic form with fluorescein leakage (type I) decreased in incidence from 86.4% to 55.4%, while an atypical form with frequent serous pigment epithelial detachment (type II) increased from 12.6% to 33.0%, and the mixed form (type I + II) increased from 1 to 11.6%. In type I with delayed healing laser coagulation of the leakage was performed, which improved the visual acuity from 0.64 to 0.92 an average (n = 122), while in cases without laser coagulation the percentage improved only from 0.66 to 0.84 on average (n = 34) with a statistically significant difference (t = 2.64, P < 0.01). Laser coagulation was especially beneficial in the mixed form (n = 16), in which the visual acuity improved from 0.42 to 0.86 on average. The proportion of women increased from 10.7 to 17.9%. The patient age tended to be higher in women more than in men.
自1969年以来,对1179例中心性浆液性脉络膜视网膜病变患者的眼睛进行了荧光素眼底血管造影检查。伴有荧光素渗漏的典型类型(I型)发病率从86.4%降至55.4%,而伴有频繁浆液性色素上皮脱离的非典型类型(II型)从12.6%增至33.0%,混合型(I型+II型)从1%增至11.6%。对于愈合延迟的I型患者,对渗漏部位进行了激光光凝治疗,平均视力从0.64提高到0.92(n = 122),而未进行激光光凝治疗的患者平均视力仅从0.66提高到0.84(n = 34),差异具有统计学意义(t = 2.64,P < 0.01)。激光光凝对混合型患者(n = 16)尤其有益,其平均视力从0.42提高到0.86。女性患者的比例从10.7%增至17.9%。女性患者的年龄往往高于男性。