荧光素眼底血管造影联合同步吲哚青绿血管造影在高度近视性眼底病变观察的效果评估  

Analysis of simultaneous indocyanine green angiography and fundus fluorescein angiography in high myopia

作　　者：朱子诚[1] 王小中[1] 柯根杰[1] 温跃春[1] 孙思勤[1] 

机构地区：[1]安徽医科大学附属省立医院眼科,安徽合肥230001

出　　处：《山东大学耳鼻喉眼学报》2015年第5期65-68,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨荧光素眼底血管造影(FFA)联合同步吲哚青绿血管造影(ICGA)观察高度近视性眼底病变的效果。方法对32例58眼高度近视眼患者分别进行眼底检查、眼底彩色照相、共焦激光造影系统(荧光素钠和吲哚青绿同步)血管造影,对比分析FFA和ICGA检查图像。结果 58眼中ICGA显示21眼有漆裂纹,而FFA显示仅15眼有明显的漆裂纹。ICGA显示11眼中有脉络膜新生血管(CNV),其中FFA仅显示8眼CNV。FFA和ICGA均显示23眼有多灶性脉络膜萎缩。结论 ICGA可更清楚地显示高度近视眼的脉络膜损害,FFA和ICGA同步检查能更全面地了解高度近视患者眼底视网膜与脉络膜的病理变化,有助于全面了解病情并指导进一步治疗。Objective To discuss the iconographic characteristics and clinical significance of synchronic examination of indocyanine green angiography （ICGA）and fundus fluorescein angiography （FFA）for high myopia.Methods Thir-ty-two patients （58 eyes）with high myopia （〉-6.00 D）,selected randomly and consecutively,underwent ocular examination,fundus color photography,ICGA and FFA synchronically.The findings for the two modes of angiogra-phies were compared.Results ICGA showed lacquer cracks in 21 eyes,while FFA showed lacquer cracks in only 15 eyes.ICGA showed choroid neovascularization （CNV）in 1 1 eyes,while FFA showed CNV in only 8 eyes.FFA and ICGA evenly showed multifocal choroid atrophy in 23 eyes.Conclusion ICGA can give more exact information on the lesions of choroid in high myopia.The synchronic examination of ICGA and FFA may act as a guide to the therapy for high myopia.

关 键 词：近视 吲哚青绿 荧光素血管造影技术 眼底病变 

分 类 号：R774[医药卫生—眼科]