早期视网膜分支静脉阻塞眼底改变及荧光素眼底血管造影分析  

Analysis on the fundus changes and fluorescent angiography of early branch retinal vein occlusion

作　　者：赫红丹[1] 邴寒[1] 郭续媛[1] 秦悦洋[1] 金奎东[1] 

机构地区：[1]黑龙江省医院眼科,哈尔滨150001

出　　处：《中国实用眼科杂志》2015年第11期1281-1283,共3页Chinese Journal of Practical Ophthalmology

基　　金：黑龙江省卫生厅项目（2012-387）

摘　　要：目的观察早期视网膜分支静脉阻塞的眼底特征及眼底荧光血管造影（FFA）图像特征，探讨其对临床诊疗意义。方法对2011年1月至2014年4月在黑龙江省医院眼科接受FFA检查的70例患者的荧光素眼底血管造影结果进行回顾性分析。其中患有高血压者22例，高血脂者16例，糖尿病者32例。结果高血压组22例中发现早期视网膜分支静脉阻塞3例，占13．64％（3／22）。高血脂组16例中发现2例视网膜中央静脉阻塞（CRVO），占12．50％（2／16）。糖尿病组32例中发现早期视网膜分支静脉阻塞2例，占6．25％（2／32）。其中的5例早期视网膜分支静脉阻塞的眼底改变及荧光素眼底血管造影，与典型病例明显不同。结论对于这类早期视网膜分支静脉阻塞的病例，应该注重与糖尿病视网膜病变等疾病的鉴别诊断，避免漏诊和误诊。FFA在诊断早期视网膜分支静脉阻塞方面具有重要的意义。Objective To observe the fundus images characters of early branch retinal vein occlu- sions and fluorescein angiograophy （FFA）, and discuss the significance in clinic diagnosis. Methods Retrospectively reviewed and analyzed the fundus images and fluorescein angiograophy data of 70 pa- tients. In these patients, there were 22 patients with hypertension, and 16 patients with hyperlipemia, and 32 patients with diabetes. Results There were 3 cases with early branch retinal vein occlusion in 22 cases with hypertension （13.64%,3/22）, and 2 cases with central retinal vein occlusion （CRVO） in 16 cases with hyperlipemia （12.50%,2/16）, and 2 cases with early branch retinal vein occlusion in 32 cases with diabetes （6.25%,2/32）. The fundus images and fluorescein angiograophy data of 5 cas- es with early branch retinal vein occlusion was different from the classic cases. Conclusions It is very important to differentiate early branch retinal vein occlusion and the other disease, such as dia- betic retinopathy. It should be avoided to miss the correct diagnosis and make the wrong diagnosis. FFA contribute to the diagnosis of early branch retinal vein occlusion.

关 键 词：早期视网膜分支静脉阻塞 荧光素眼底血管造影 鉴别诊断 

分 类 号：R774.1[医药卫生—眼科]