FFA对激光治疗中心性浆液性脉络膜视网膜病变的指导意义  

LASER THERAPY FOR CSC (CENTRAL SEROUS CHOROIDORETINOPATHY) INSTRUCTED BY FFA

作　　者：许道成[1] 陈伟奇[2] 黄惠春[1] 周元升[1] 蔡可莉[1] 

机构地区：[1]汕头大学医学院第一附属医院,广东汕头515041 [2]汕头大学医学院眼科中心,广东汕头515041

出　　处：《现代医院》2005年第7期9-11,共3页Modern Hospitals

摘　　要：目的评价荧光素眼底血管造影指导下激光光凝治疗中心性浆液性脉络膜视网膜病变的疗效。方法经荧光素眼底血管造影确诊的中心性浆液性脉络膜视网膜病变患者中,对病程迁延不愈,反复发作,色素上皮渗漏点在中心凹200μm以外的52病例中选择24例行激光治疗,28例给予改善微循环药物及维生素辅助支持治疗。随访3个月,将症状好转、视力提高两行以上、视网膜下液明显吸收者视为治疗有效。结果药物治疗组2例(7.14%)治疗有效,其余患者无明显改变;激光治疗组中14例(58.33%)有效,其余无改善,无1例出现病情恶化。结论中心性浆液性脉络膜视网膜病变激光光凝治疗效果优于药物治疗,荧光素眼底血管造影可以准确诊断并指导激光光凝。Objective To evaluate the effect of laser therapy for CSC (central serous choroidoretinopathy), instructed by FFA (fundus flurorescein angiography). Methods 52 CSC patients diagnosed by FFA, with leaking point 200 microns away from the central fovea, who were not getting better or with frequently recurrent symptoms, were divided into two groups. One group (24 cases) was treated with Laser, the other (28 cases) drugs only. After a 3-months' follow-up, for those with less symptoms, vision improved over 2 lines, subretinal fluid absorbed obviously, the therapy is regarded as 'effective'. Results In drugs group, there were 2 effective cases(7.14%); in laser group, 14 effective cases (58.33%), the rest cases, without obvious changing or getting worse. Conclusion For CSC, Laser is better than drugs therapy, FFA can precisely diagnose CSC and instruct Laser photocoagulation.

关 键 词：FFA 激光治疗 中心性浆液性脉络膜视网膜病变 荧光素眼底血管造影 激光光凝 药物治疗 

分 类 号：R774.1[医药卫生—眼科] R454.2[医药卫生—临床医学]