老年色素上皮脱离的随访观察  

Follow up study of pigment epithelium detachment in old patients

作　　者：文峰[1] 吴德正[1] 吴乐正[1] 黄时洲[1] 罗苔青[1] 马娟妹[1] 

机构地区：[1]中山医科大学中山眼科中心

出　　处：《眼科研究》1999年第4期259-261,共3页Chinese Ophthalmic Research

摘　　要：目的探讨老年色素上皮脱离（ＰＥＤ）的最终结局及其影响因素。方法用眼底荧光血管造影（ＦＦＡ）和／或吲哚青绿血管造影（ＩＣＧＡ）对１０例ＰＥＤ进行了追踪随访，平均随访时间３４个月。结果７例老年ＰＥＤ在随访过程中并发了脉络膜新生血管（ＣＮＶ），ＰＥＤ范围均≥１ＰＤ，其中６例年龄＞５５岁，ＩＣＧＡ能比ＦＦＡ更清晰显示其并发的ＣＮＶ；３例（４眼）ＰＥＤ变平伏，其中３眼ＰＥＤ范围＜１ＰＤ。结论ＰＥＤ的大小和患者的年龄是影响老年ＰＥＤ预后的两个重要因素。ＩＣＧＡ可早期、敏感发现ＰＥＤ所隐匿的ＣＮＶ。Objective To investigate the changes of pigment epithelium detachment (PED) in old patients and to search for the factor associated with the changes. Methods The fundus fluorescein angiography (FFA) was used to examine 10 patients with PED,3 patients were also performed with indocyanine green angiography (ICGA).The average follow up periods were 34 months. Results (1) 7 patients had developed a choroidal neovascularization (CNV) within the follow up period.The eyes with PED were greater than 1PD,and 6 patients were greater than 55 years of age. ICGA was found to be superior than FFA in valuating the CNV with PED.(2) 3 patients (4 eyes) were resorbed spontaneously,leaving RPE atrophy.3 eyes of PED were smaller than 1PD. Conclusion The size of PED and the age of patients were the important factors associated with the change of PED. ICGA is sensitive for detecting CNV with PED.

关 键 词：色素上皮脱离 老年人 PED 随访 转归 

分 类 号：R773[医药卫生—眼科]