视网膜大动脉瘤12例临床分析  

Clinical analysis of retinal macroaneurysm in 12 cases

作　　者：石安娜[1] 刘维锋[1] 金昱[1] 陈蔷娟[1] 

机构地区：[1]南昌大学第三附属医院眼科,江西省南昌市330006

出　　处：《眼科新进展》2010年第2期180-181,共2页Recent Advances in Ophthalmology

摘　　要：目的观察视网膜大动脉瘤的临床特征及视网膜激光光凝对其治疗效果。方法回顾性分析12例(12眼)视网膜大动脉瘤患者的临床资料,包括视力、眼底荧光血管造影(fundus fluorescein angiography,FFA)结果。结果12例患者中,初诊视力平均0.42,眼底出血均伴有黄白色渗出,10例通过FFA确诊,表现为动脉扩张伴管壁荧光渗漏,周围深层出血遮蔽荧光,中期管壁渗漏不断增强,后期呈强荧光团,管壁毛边状;2例通过吲哚青绿血管造影确诊,显示视网膜大动脉病损和动脉壁相连;8例行视网膜光凝治疗后3个月FFA未见异常。结论视网膜大动脉瘤通过眼底观察和眼底血管造影可明确诊断,视网膜激光光凝治疗安全、有效。Objective To investigate the clinical characteristics of retinal macroaneurysm and clinical efficacy of retinal photocoagulation for it.Methods Retrospective analysis were taken in clinical data of 12 cases（12 eyes） with retinal macroaneurysm,including visual acuity and results of fundus fluorescein angiography（FFA）.Results In 12 cases,average visual acuity was 0.42 at preliminary diagnosis,subhyaloid hemorrhage and yellowish exudation were found.Ten cases were finally diagnosed with FFA,showing arteriectasis and fluorescence leakage of vessel walls,deep hemorrhage blocked fluorescence,increased fluorescence of vessel walls at middle stage,hyperfluorescence at later stage,and vessel walls with rough edges.Two cases were finally diagnosed by indocyanine green angiography with impairment of retinal large artery and adhesion of arterial wall,and no abnormal phenomenon was found with FFA after treated with retinal photocoagulation for 3 months in 8 cases.Conclusions Retinal macroaneurysm can make final diagnosis with fundus observation and FFA.Retinal photocoagulation is safe and effective.

关 键 词：视网膜大动脉瘤 眼底荧光血管造影 视网膜激光光凝术 

分 类 号：R774.1[医药卫生—眼科]