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目的:分析中心性浆液性脉络膜视网膜病变(CSC)不典型眼底荧光血管造影(FFA)的表现特点。方法:将我院于2013年1月-2016年6月收治的16例(共26眼)CSC患者作为观察对象,所有患者均进行FFA检查,观察FFA的表现特点。结果:CSC的FFA表现总共有五类,分别为典型和不典型渗漏点型、色素上皮脱离性、严重型以及正常荧光造影所见型。其中以典型渗漏点型为CSC的典型荧光造影表现,其余的均为特殊型荧光造影表现。结论:CSC病变的FFA具有不同的表现形式,临床诊断应注意与色素上皮炎、Voge-小柳原田病做鉴别。
Objective: To analyze the characteristics of atypical fundus fluorescein angiography (FFA) in central serous chorioretinopathy (CSC). Methods: Sixteen patients (26 eyes) with CSC admitted from January 2013 to June 2016 in our hospital were enrolled in this study. All patients underwent FFA examination to observe the features of FFA. Results: There were five types of FFA manifestations in CSC, typical and atypical leakage type, pigment epithelial detachment, severe type and normal fluorescein angiography. Among them, the typical leakage point type is typical fluoroscopy of CSC, and the rest are special type of fluoroscopic imaging. Conclusion: The FFA of CSC lesions have different manifestations, and clinical diagnosis should pay attention to the differential diagnosis of pigment epithelitis and Voge-Komidori Harada disease.