Wessing A
Klin Monbl Augenheilkd. 1977 Sep;171(3):371-84.
From the literature and our own experience it is evident that choriogenic subretinal vascular proliferation is the most important symptom of senile exudative maculopathy. Prior to proliferation a certain percentage of cases develops an isolated detachment of the retinal pigment epithelium. However, there are cases where already in the predisciform stage vascular proliferations are proved histologically. Photocoagulation can be applied to isolated pigment epithelial detachment, to cases with beginning vascular proliferation, and to late stages in order to accelarate the final scaring.
从文献及我们自身的经验来看,脉络膜源性视网膜下血管增生显然是老年性渗出性黄斑病变最重要的症状。在增生之前,一定比例的病例会出现视网膜色素上皮的孤立性脱离。然而,有些病例在盘状病变前期经组织学检查就已证实有血管增生。光凝可应用于孤立性色素上皮脱离、血管增生初期的病例以及晚期病例,以加速最终的瘢痕形成。