急性区域性隐匿性外层视网膜病变的临床观察  

Clinical analysis of 3 patients with acute zonal occult outer retinopathy （AZOOR）

作　　者：高金梅 王红 王绪增 朱丽丽 宋京 

机构地区：[1]山东枣庄矿业集团中心医院眼科,枣庄277800

出　　处：《中国实用眼科杂志》2016年第8期874-877,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨急性区域性隐匿性外层视网膜病变（acute zonal occult outer retinopathy，AZOOR）的临床表现及治疗过程中光学相干断层扫描（OCT）的特征及变化。方法对3例急性区域性隐匿性外层视网膜病变的病情变化进行分析。结果AZOOR患者眼底后极部网膜无明显改变。OCT检查：黄斑椭圆体区及交叉区反射减弱、毛糙、中断甚至局限性缺失。给予营养神经、改善微循环等药物治疗，2～3个月后患者视力提高，复查OCT示黄斑相应的椭圆体区及交叉区病变明显好转及连续性恢复。结论AZOOR主要累及视网膜光感受器细胞层，给予药物治疗后OCT检查显示病变区域好转。Objective To characterize the pathological change of acute zonal occult outer retinopathy （AZOOR） by optical coherence tomography （OCT） and treatment. Methods The condition changes of 3 AZOOR cases were analyzed. Results There were no significant changes in retinal posterior pole of the patients＇ fundus. The manifestations of OCT showed Ellipsoid Zone and Interdigitation Zone irregularity, or absence in the area corresponding to the lesions. The presence of the continuous Ellipsoid Zone in their OCT imagine were showed 2 to 3 months after nerve nutrition, microcirculation improvement and other drug treatment were given. Conclusions AZOOR is an unknown etiology disease. It mainly involves in photoreceptor layer. The manifestations of OCT show Ellipsoid Zone and Interdigitation Zone irregularity or absence in the area corresoondine to the lesions.

关 键 词：急性区域性隐匿性外层视网膜病变 光学相干断层扫描 

分 类 号：R587.2[医药卫生—内分泌]