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急性多灶性缺血性脉络膜病变(附16例报告)

Acute Multifocal Ischemic Choroidopathy
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摘要 急性多灶性缺血性脉络膜病变(AcuteMultifocal Ischemic Choroidopathy)简称(AMIC)是继Gass提出“急性后极部多发性鳞状色素上皮病变”后的一种新命名。其理由是。本病原发损害不在视网膜色素上皮层,而在脉络膜毛细血管层。现将我院近两年来收集的16例(22只眼)分析结果报告如下。 Sixteen patients (22 eyes) with acute multifocal ischemic choroidopathy (AMIC) is reported in this study, including visual acuity, visual field, slitlamp and fundus examination. All patients have undertaken fluorescein angiography. The systemic examination included blood presure, O.T. test, E.S.R. and immunoglobulin test.We think that AHIC and APMPPE are the same thing, but its pathogenesis is differenct. AMIC attacks acutely, visual acuity decreases strongly. A number of flat, yellowwhite, squamous focus are founded in posterior pole; the other area is normal. Fluorescein angiography shows hypofluorescein at the first phase and hyperfluorescein at later phase At the nonperfusion area, the large blood vessel of choroid was seen. We consider that the blood supply in this area is deficiency. Treatments include dilated blocd vesel, improving the function of peripheral cerculation. The prognosis depends on the degree of ischemic, and whether the macula area is involved or not.
出处 《眼科研究》 CSCD 1989年第4期237-239,共3页 Chinese Ophthalmic Research
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