文峰 吴德正 黄时洲 罗光伟 吴乐正 510060 广州，中山医科大学中山眼科中心 中华眼底病杂志 1999 0 15 4


    关键词：黄斑变性/诊断；吲哚花青绿/诊断应用；荧光素血管造影术 期刊 zhydbzz 0 黄斑疾病的临床检查 fur -->


    

【摘要 】 目的 探讨单侧湿性型老年性黄斑变性(age-related macular degeneration,AMD)对侧眼的吲哚青绿血管造影(indocyanine green angiography,ICGA)特征及其临床意义。 方法 对70例一眼为湿性型AMD的患者对侧眼作眼底彩色照相、荧光素眼底血管造影(fundus fluorescein angiography,FFA)以及ICGA检查，并对其眼底荧光图像进行比较和分析。 结果 对侧眼的ICGA特征有：①玻璃膜疣可呈现弱荧光、强荧光及正常荧光等表现；②14只眼ICGA中晚期出现强荧光斑；③13只眼呈现有一个或多个片状脉络膜充盈缺损；④18只眼ICGA中晚期出现簇状强荧光小点。 结论 ICGA能较好评价单侧湿性型AMD对侧眼病变损害程度，并有助于寻找发生渗出性改变的危险因素。

    中国图书资料分类法分类号 R744.5 R814.43

Indocyanine green angiographic findings in contralateral eyes of patients with unilateral exudative age-related macular degeneration

WEN Feng,WU Dezheng,HUANG Shizhou,et al.

    Zhongshan Ophthalmic Center,Sun Yat-sen University of Medical Sciences,Guangzhou 510060,China

【Abstract 】 Objective To analyse the indocyanine green angiographic findings in contralateral eyes of patients with unilateral exudative age-related macular degeneration(AMD). Methods Fundus photograph,fundus fluorescein angiography(FFA) and indocyanine green angiography(ICGA) were performed in a series of 70 patients with unilateral AMD and drusens and pigmentary changes in the macular region in contralateral eyes.The findings of fluoroangiograms were observed and analysed. Results ICGA revealed the characteristics of the contralateral eyes as follows:(1)Drusen could be hypofluorescent,hyperfluorescent or normal fluorescent;(2)14 eyes revealed plaque-like late hyperfluorescent;(3)13 eyes revealed choroidal filling defect;(4)18 eyes revealed pindot-like clusters of late hyperfluorescence. Conclusion ICGA is useful in evaluating the lesions and circulation disturbance of the contralateral eye,and may help to find the risk factors of developing future exudative changes.

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