眼底血管样条纹的眼底及FFA特征分析  

Fundus and fluorescein angiography characteristics of angioid streaks

作　　者：耿燕[1] 徐朝晖[1] 孙颖[1] 

机构地区：[1]青岛大学医学院第二附属医院眼科,青岛266042

出　　处：《中国实用眼科杂志》2006年第11期1185-1188,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨[底血管样条纹(angioidstreaks,AS)的[底表现、FFA特点、并发症及预后。方法分析9例(18只[)AS患者的临床资料及[底荧光血管造影(fundusfluoresceinangiography,FFA)结果。结果①[底表现:18[后极部均可见类似血管样的放射状条纹,11[的后极部条纹通过黄斑,占61.1%,其中8[[底可见黄斑部出血、水肿、渗出等改变,占44.4%。②FFA:14[浅棕褐色的条纹均表现为强荧光带,4[桔黄色的表现为条纹中心区弱荧光,周围强荧光边;有出血、水肿等改变的区域FFA表现为动脉前期或动脉期出现边界清晰强荧光,晚期增强;或静脉期逐渐出现强荧光团,边界不清。结论大多数[底AS患者的[底所见非常典型,FFA结果有助于其病因分析、诊断分期及指导治疗。Objective To investigate the fundus features, fluorescein angiography （FFA） characteristics and the main complications of angioid streaks. Methods Nine patients （18 eyes） with bilateral angioid streaks were examined by the routine ophthalmological examination and FFA. Color fundus photographs were also taken. Results （1）Fundus findings： angioid streaks were visualized in the posterior pole of 18 eyes and the streak colors ranged from brown in the early phases to orange in severe stages. The macular areas of I l eyes （61.1%） were involved and 8 eyes （44.4%）had subretinal hemorrhages either with or without neovascularization. （2）FFA： streaks were hyperfluorescent in 14 eyes, hypofluorescent areas between hyperfluorescent edges in 4 of the 18 eyes. In most cases hyperfluorescent were seen in macular of late venous and late phase of FFA. FFA confirmed the presence of well-defined choroidal neovascularization（CNV） in 8 eyes. 5 eyes presented classic and 3 occult CNV. Conclusion In all eyes, angioid streaks were well visualized. FFA results may contributes to the diagnosis, treatment and prognosis for patients with angioid streaks.

关 键 词：眼底血管样条纹 荧光素血管造影术 

分 类 号：R771[医药卫生—眼科]