非典型视网膜色素变性的眼底血管造影分析  

Fundus angiography findings of atypical retinitis pigmentosa

作　　者：张晓惠[1] 文峰[1] 胡世兴[1] 阎宏[1] 林少春[1] 

机构地区：[1]中山大学中山眼科中心,广州510060

出　　处：《眼科研究》2004年第3期299-301,共3页Chinese Ophthalmic Research

摘　　要：目的　探讨非典型视网膜色素变性 (RP)的眼底血管造影特点。方法　诊断为非典型RP的 15例 ( 3 0眼 )患者 ,行眼底彩色照相、荧光素眼底血管造影 (FFA) ,其中 5例同时做了吲哚青绿血管造影 (ICGA)检查。结果　 15例非典型RP包括中心性RP 3例 ;无色素性RP 4例 ;白点状RP 2例及Bietti’s结晶样RP 6例 ;彩色眼底像显示其眼底表现各有特点 ,但FFA均显示有程度及范围不一的椒盐状透见荧光及多灶性脉络膜萎缩 ;ICGA早期可见脉络膜血管透见性增强 ,后期比FFA更清楚显示多灶性脉络膜萎缩的边界范围。结论　眼底彩色照相、FFA和ICGA结合检查 ,有助于更全面了解不同类型的非典型RP眼底表现特点以及视网膜、脉络膜循环改变的特征。Objective To investigate the features of atypical retinitis pigmentosa with fundus fluorescein angiography (FFA) and indocyanine green angiography(ICGA). Methods Thirty eyes of 15 patients were diagnosed as atypical retinitis pigmentosa by ocular examination and FFA,in which ICGA examination was performed on 5 cases. Results Fifteen cases of atypical retinitis pigmentosa included 2 cases of central retinitis pigmentosa,4 cases of retinitis pigmentosa sine pigmentosa,2 cases of retinitis punctata albescens and 6 cases of Bietti’s crystalline retinopathy.Different types of atypical retinitis pigmentosa had their special fundus features in the fundus color photography,but appeared“pepper and salt”transmitting fluorescence and multi-focus choroid atrophy in different areas.In all cases,ICGA showed clear transmitting choroid vessel in the early phase and well-difinited hypoflorescences of multi-focus choroid atrophy in the late phase than FFA. Conclusion Combination of fundus color photography with FFA and ICGA is useful for evaluating the fundus features of various atypical retinitis pigmentosa and vessel changes of retina and choroid.

关 键 词：视网膜色素变性 荧光素眼底血管造影 吲哚青绿眼底血管造影 

分 类 号：R774[医药卫生—眼科]