外伤性脉络膜破裂临床观察  

Clinical reserch of traumatic choroidal rupture

作　　者：顾莉莉[1] 王琦[1] 吴栋[1] 杜秀梅[1] 刘洋[1] 秦曦[1] 

机构地区：[1]陕西省延安市人民医院眼科,716000

出　　处：《临床眼科杂志》2010年第2期153-155,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨外伤性脉络膜破裂的临床特征、分型及眼底血管造影特点。方法回顾性分析17例(17只眼)外伤性脉络膜破裂患者临床资料。17例(17只眼)行荧光素眼底血管造影(FFA)检查,8只眼同时行脉络膜吲哚氰绿血管造影(ICGA)检查。结果FFA检查,17只眼中9只眼FFA早期病损部位呈条状或弯月形透见荧光或弱荧光,晚期呈现强、弱荧光或着染,或由于出血遮蔽难以显示破裂部位、大小及形态。ICGA检查,5只眼视网膜出血不多,早期表现为破裂灶周围脉络膜充盈缺损,破裂处可见脉络膜毛细血管断裂,大血管连续性良好,或者大血管亦断裂,晚期可清晰显示脉络膜破裂的部位、大小、形态及多少。3只眼合并浓厚的出血,造影早期亦看不到明显改变,晚期则可见破裂灶。结论外伤性脉络膜破裂如果合并眼底出血时,ICGA检查优于FFA,并可以根据ICGA检查将其分为脉络膜全层破裂和脉络膜毛细血管-玻璃膜-视网膜色素上皮复合体(CBRC)断裂。Objective To study clinical characteristics,typing and eyeground vasography＇s characteristics. Methods A retrospective study was conducted the clinical datas of 17 traumatic choroidal rupture patients been clinical definited. 17patients were examinated by fundus fluorescence angiography （ FFA）,8 patients were examinated by indocyanine green angiography （ICGA ）. Results 9 patients＇ lesion FFA show stick or bend selene transmitted fluorescence and hypofluorescence in nonage; in advanced stage they take on thicker or thinnner flourescence, if hemorrhage shielding FFA would hard to show the site , size and form of the rupture. In 5 patients with small quantity hemorrhage, the ICGA appear choroid filling defect at circum-rupture, broken choriocapillary and well or broken great vessels in nonage ; the the site , size and form of the choroid rupture can be clearly displaied by in late ICGA. 3 patients with thicker hemorrhage, it can＇ t show obviously change in early ICGA, but appear choroid rupture in late ICGA. Conclusion when Traumatic choroidal rupture is complicating with subhyaloid hemorrhage, ICGA have an advantage than FFA. according to ICGA, choroidal rupture can be divided into chorioid full-thickness rupture and choriocapiUary-Bruch＇s membrane-retinal pigment epithelium complex （ CBRC ） rupture.

关 键 词：外伤性脉络膜破裂 分型 眼底血管造影 

分 类 号：R779.1[医药卫生—眼科]