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许多眼病可产生黄斑囊样水肿,它不是一个独立的疾病,而是各种眼病所产生的临床症状和后果。本文报告52例黄斑囊样水肿荧光造影,临床观察和视力预后。产生黄斑囊样水肿的眼病是视网膜中央静脉阻塞50例,视网膜血管瘤一例,脉络膜视网膜炎一例。荧光造影显示黄斑毛细血管拱环有程度不同的渗漏,并形成花瓣状图形。视网膜静脉阻塞共作荧光造影97例128人次,黄斑囊样水肿的发病率为51.55%(50例)。平均追踪观察时间为12个月。视力恢复在0.6以上者,有黄斑囊样水肿组为22%,无黄斑囊样水肿组为78.72%,两组比较,P<0.005。说明黄斑囊样水肿明显影响视力预后。观察了5例黄斑囊样水肿组织病理学切片。囊样空间位于外丛状层、内核层、内丛状层、神经节细胞层、神经纤维层。严重者可位于视网膜各层,并从视乳头伸向赤道部。同时可看到血管阻塞和视网膜退行性变,色素上皮萎缩等,提示黄斑囊样水肿不但影响视力,并且是视力严重减退的原因。
Many eye diseases can produce cystoid macular edema, it is not an independent disease, but the clinical symptoms and consequences of various eye diseases. This article reports 52 cases of cystoid macular edema fluorescence imaging, clinical observation and vision prognosis. Ocular cystoid macular edema is the central retinal vein occlusion in 50 cases, a case of retinal hemangiomas, a case of chorioretinitis. Fluorescent angiography showed macular capillary arch ring with varying degrees of leakage, and the formation of petal-like graphics. Retinal vein occlusion with fluoroscopy in 97 cases of 128 people, the incidence of macular cystoid edema was 51.55% (50 cases). The average follow-up time was 12 months. Visual acuity recovery in 0.6 or more, macular cystoid edema group was 22%, no macular cystoid edema group was 78.72%, P <0.005. Cystoid macular edema significantly affect visual outcome. Five macular cystoid edema histopathological sections were observed. Cystic space located in the outer plexiform layer, the inner nuclear layer, the inner plexiform layer, ganglion cell layer, nerve fiber layer. Severe cases can be located in the retina layers, and from the optic nerve to the equator. At the same time can see the vascular obstruction and retinal degeneration, pigment epithelial atrophy, suggesting that cystoid macular edema not only affects vision, and is the cause of severe vision loss.