大泡状视网膜脱离及其荧光眼底血管造影分型  

BULLOUS RETINAL DETACHMENT AND ITS CLASSIFICATION OF FLUORESCENCE ANGIOGRAPHY

作　　者：胡兆科[1] 邓延伟[1] 高汝龙[1] 

机构地区：[1]中山医科大学中山眼科中心眼科医院

出　　处：《眼科学报》1991年第4期172-175,共4页Eye Science

摘　　要：本文报告大泡状视网膜脱离19例27眼,男17例24眼,女2例3眼。双眼发病8例,单眼11例。年龄最小16岁,最大46岁,平均年龄36.7岁。全部病例作了荧光血管造影,根据荧光血管造影表现可分为两种类型:Ⅰ型:后极部多灶性色素上皮损害型12例16眼;Ⅱ型:后极部弥漫性色素上皮损害7例11眼。治疗方法分为:单纯药物、药物加光凝、药物加放水、药物加放水加光凝治疗,27眼中,20眼视力有不同程度的提高,4眼视力无变化,3眼视力下降。视网膜平伏22眼,总有效率为81.4%。并对本病提出荧光血管造影分为两型、诊断、鉴别诊断及治疗进行了讨论。Nineteen cases with(27 eyes) of bullous retinal detachment, male(24 eyes), femal(3 eyes), were reported. The age of onset was from 16 to 46, mean 36.7. All of them underwent fundus fluorescence angiography(FFA). According to the results of FFA, it could be divided into two types of fluorescence angiograph changes were seen: type Ⅰ, multiple pigmental epithelial damage at posterior pole, it consisred of twelve cases(16 eyes); type Ⅱ, extensive pigmental epithelial damage at posterior pole, it consisted of seven cases(11 eyes). The treatments consist: medicine; medicine and photocoagulation; combined medicine, transscleral drainage and photocoagulation. Among 27 eyes, 20 had their vision improved after treatment, 4 eyes unchanged and 3 eyes decreased in vision. 22 eyes obtained their retinal reattachment(81.4%). The diagnosis, differential diagnosis, classification and treatment are discussed.

关 键 词：视网膜脱落 大泡状 眼底荧光摄影 血管造影 分型 

分 类 号：R774.13[医药卫生—眼科]