Levy J H, Pollock H M, Curtin B J
Ann Ophthalmol. 1977 Nov;9(11):1433-43.
A correlation of funduscopic and fluorescein angiographic findings in the Fuchs' spot of high myopia is presented. A variety of ophthalmoscopic changes indicate that both serous and hemorrhagic detachments of the retinal pigment epithelium and neurosensory retina are associated with this lesion. Fluorescein angiography, however, reveals subretinal reovascularization from the choroid as the basic underlying disease in most cases reviewed. Wide variations in the ophthalmoscopic appearance of the pigmented maculopathy of high myopia necessitate a more descriptive approach than that indicated by the term "Fuchs' spot." Fluorescein angiography becomes a necessity to delineate neovascular lesions as paracentral tufts may possibly be treated with laser photocoagulation to reduce progression.
本文呈现了高度近视性Fuchs斑的眼底镜检查和荧光素血管造影结果的相关性。多种眼底镜检查变化表明，视网膜色素上皮和神经感觉视网膜的浆液性和出血性脱离均与该病变相关。然而，荧光素血管造影显示，在大多数所回顾的病例中，脉络膜视网膜下新生血管形成是基本的潜在疾病。高度近视性色素性黄斑病变的眼底镜表现差异很大，因此需要一种比“Fuchs斑”这一术语所表明的更具描述性的方法。荧光素血管造影对于描绘新生血管病变变得必不可少，因为旁中心簇状病变可能可用激光光凝治疗以减少进展。
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