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目的探讨老年色素上皮脱离(PED)的最终结局及其影响因素。方法用眼底荧光血管造影(FFA)和/或吲哚青绿血管造影(ICGA)对10例PED进行了追踪随访,平均随访时间34个月。结果7例老年PED在随访过程中并发了脉络膜新生血管(CNV),PED范围均≥1PD,其中6例年龄>55岁,ICGA能比FFA更清晰显示其并发的CNV;3例(4眼)PED变平伏,其中3眼PED范围<1PD。结论PED的大小和患者的年龄是影响老年PED预后的两个重要因素。ICGA可早期、敏感发现PED所隐匿的CNV。
Objective To investigate the final outcome of senile pigment epithelium detachment (PED) and its influencing factors. Methods Ten cases of PED were followed up with fundus fluorescein angiography (FFA) and / or indocyanine green angiography (ICGA) with an average follow-up time of 34 months. Results Seven elderly PED patients were complicated with choroidal neovascularization (CNV) during the follow-up. The range of PED was ≥1 PD. Six of them were over 55 years old. ICGA showed more complicated CNV than FFA. Three patients (4 eyes) PED was flattened, of which 3 eyes PED range <1PD. Conclusions The size of PED and patient’s age are two important factors affecting the prognosis of elderly PED. ICGA early, sensitive discovery of PED hidden CNV.