摘要
目的分析糖尿病视网膜病变(DR)合并视网膜静脉阻塞(RVO)的眼底特征及荧光素眼底血管造影(FFA)的图像特点。方法回顾分析我院眼科45例(48只眼)DR合并RVO的患者的眼底图像及FFA特征。结果45例DR合并RVO的患者中,双眼同时发病3例,其余为单眼。其中中央静脉阻塞最多,31只眼(64.6%);其次为颞上分支静脉阻塞,8只眼(16.7%);其它分支静脉阻塞9只眼。FFA表现为:静脉阻塞区视网膜有大量神经纤维层出血遮蔽荧光,静脉迂曲扩张和管壁渗漏,相应黄斑区荧光渗漏,掩盖了患眼DR的改变,对侧眼见DR不同级别的改变。结论糖尿病并发RVO是又一特殊体征,也是严重损害视力的因素之一,应与单发的DR或RVO相鉴别,并应长期定时对眼底进行检查治疗。
Objective To observe the characteristics of fundus images and fluorescin angiography（ FFA）in diabetic retinopathy（ DR） combined with retinal vein occlusion（ RVO）. Methods The elinicaI data of FFA and other related information of 45 patients （ 48 eyes） who were diagnosed as DR combined with RVO were retrospectively analyzed. Results In the 45 eases of DR combined with RVO,Only 3 patients were involved with both eyes in all the 45 patients. CRVO was the most predominant（ 31 eyes） followed by temporal upper branch RVO（8 eyes）, other branch RVO（9 eyes）. FFA showed that extensive hemorrhage was seen at the vein occlusion area. and disc and fovea of maeula was involved with fluoreseein leakage, at the same time. they covered DR change of this eye. The apposite eye had DR changes of varying degrees. Conclusion The clinical and fundus changes of DR combined with RVO were of characteristics and should be distinguished with single DR or RVO and treated regularly in long tuna.
出处
《临床眼科杂志》
2009年第5期448-450,共3页
Journal of Clinical Ophthalmology
