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视网膜色素上皮浆液性脱离的自然病程。

Natural history of serous detachments of the retinal pigment epithelium.

作者信息

Meredith T A, Braley R E, Aaberg T M

出版信息

Am J Ophthalmol. 1979 Oct;88(4):643-51. doi: 10.1016/0002-9394(79)90659-7.

DOI:10.1016/0002-9394(79)90659-7
PMID:92197
Abstract

Fifty eyes of 40 patients with serous (avascular) detachments of the retinal pigment epithelium were followed up for an average of 22 months. Of the 50 eyes, 14 (28%) developed bleeding beneath the retinal pigment epithelium and retina or subretinal neovascularization detected on fluorescein angiography. These changes did not occur in eyes of patients younger than age 56 years at diagnosis or in detachments less than 1 disk diameter in size, whereas 35.9% (14) of eyes in patients older than age 56 years developed vascular complications. Vascular complications were uncommon when the initial detachment did not involve the fovea. Visual acuity declined in only one (9.1%) of eyes in patients younger than age 56 years but in 20 (51.3%) of eyes in patients age 56 years or greater.

摘要

对40例患有视网膜色素上皮浆液性(无血管)脱离的患者的50只眼睛进行了平均22个月的随访。在这50只眼睛中,14只(28%)在视网膜色素上皮和视网膜下出现出血或在荧光素血管造影中检测到视网膜下新生血管形成。这些变化在诊断时年龄小于56岁的患者的眼睛中或大小小于1个视盘直径的脱离中未出现,而56岁以上患者的眼睛中有35.9%(14只)出现血管并发症。当初始脱离未累及黄斑时,血管并发症并不常见。56岁以下患者的眼睛中只有1只(9.1%)视力下降,但56岁及以上患者的眼睛中有20只(51.3%)视力下降。

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