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1
題名:老年性?斑部病變之境界不明脈絡膜新生血管的灌流變化     (14點)
FILLING PATTERN OF OCCULT CHOROIDAL NEOVASCULARIZATION IN AGE-RELATED MACULAR DEGENERATION
著者:陳世真(Shih-Jen Chen) ;李鳳利(Fenq-Lih Lee) ;楊昌叔(Chang-Sue Yang) ;林伯剛(Por-Kung Lin) ;李安斐(An-Fei Li) ;劉榮宏(Jorn-Hon Liu)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:occult choroidal neovascularization ; filling pattern ; indocyanine green angiography ; scanning laser ophthalmoscope
刊名:中華民國眼科醫學會雜誌
卷期:38卷1期(1999.3)
頁碼:26-32
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:觀察記錄早期脈絡膜新生血管的灌流變化,希有助於對老年性黃斑部病變之境界不明新生血管的了解。方法:總共收集37個黃斑部病變病患,39隻眼,其中18眼為單純境界不明新生血管,12眼為合併色素上皮細胞層剝離者。施行循血綠血管攝影檢查,以掃描式雷射眼底攝影取得早期新生血管的灌流變化,以及晚期的螢光反應,並加以比較分類。結果:依早期的新生血管灌流型態,可分為血管綱狀型(vascular net filling),佔38.5%,局部滲出型(focal oozing),佔62%,以及境界不明型(ill-defined),佔38%。同一隻眼有兩種不同型態變化的佔41%。若與晚期螢光反應做比較,早期局部滲出型的有83%到晚期呈境界分明的高螢光區,而87%的早期境界不明型到了晚期仍然境界不明。兩者有統計學上差異(p<0.001, Fisher's exact test)。血管綱狀型到晚期則各有53%和47%分呈境界分明和境界不明的高螢光區。結論:本研究顯示,早期脈絡膜新生血管的循血綠灌流變化表現,與新生血管的類別和晚期螢光反應有關,這些分類可增加雷射治療的適應症。
Purpose: To study the early filling patterns of occult choroidal neovascularization (OCNV) in age-related macular degeneration with indocyanine green angiography (ICGA) imaged by scanning laser ophthalmoscope. Methods: Total 39 eyes of OCNV were enrolled. Among them, 18 eyes were isolated OCNV and 21 eyes were OCNV with pigment epithelial detachment (vascular PED). All eyes had indocyanine green angiography imaged by scanning laser ophthalmoscope. Results: Three types of filling patterns could be identified according to the early angiographic findings. The vascular net filling accounted for 38.5%, the focal oozing for 62% and the ill-defined pattern for 38%. Forty-one percent of the eyes had two types of filling. In the late phase of angiography, 83% of the early focal oozing spots showed well-defined hyperfluorescent patches, while 87% of the early ill-defined zones continued to be ill-defined in the late phase. The difference is significant (p<0.001, Fisher's exact test). Fifty-three percent and 47% of the early vascular net filling types changed to well-defined and ill-defined plaques, respectively. Conclusions: The early filling patterns of OCNV in age-related macular degeneration are related to the types of OCNV and the late phase fluorescent findings. These classifications of the early ICGA may supplement the guidelines for laser treatment.


    

本卷期目次
中華民國眼科醫學會雜誌 38卷1期 (1999.3)
INDOCYANINE GREEN ANGIOGRAPHIC FEATURES IN IDIOPATHIC SUBFOVEAL CHOROIDAL NEOVASCULARIZATION/ Wei-Li ChenPing-Kang HouMuh-Shy Chen
A TWO YEARS STUDY OF CORNEAL TOPOGRAPHIC STABILITY FOLLOWING RADIAL KERATOTOMY/ Sung-Huei TsengJia-Jane LeuFred K Chen
眼底缺損合併小眼角膜-家族病例報告/ 王錦銘陳建同周秉義
全身性紅斑狼瘡急性發作期導致暫時性高度近視及結膜水腫--病例報告/ 梁中玲李瑞鋒郭錫恭賴盈州鄭添財
RECONSTRUCTION OF LARGE ORBITAL FRACTURES WITH HIGH-DENSITY POROUS POLYETHYLENE CHANNEL IMPLANTS/ Yu-Hong LaiCheng-Hsien ChangHwei-Zu Wang
老年性?斑部病變之境界不明脈絡膜新生血管的灌流變化/ 陳世真李鳳利楊昌叔林伯剛李安斐劉榮宏
碳酸酐?抑制劑6-Hydroxyethoxy-2-benzothiazole Sulfonamide靜脈注射後之兔眼藥物動力學/ 呂大文高繼文江樵熹張澶榮林秋燕
碳酸酐?抑制劑6-Hydroxyethoxyzolamide局部點眼後之兔眼藥物動力學/ 呂大文江樵熹張澶榮林秋燕
Carteolol(ArteopticR)之臨床評估及心血管作用-內因性擬交感神經作用之探討/ 陳美如周清光劉榮宏
復興鄉色覺調查/ 高玲玉史麗珠林淑梅梁有松
高雄地區九所高中職專二年級學生近視狀況與環境因素之研究/ 陳文甲王惠珠李穎勳吳孟憲陳育芬許俊傑陳正僓
台中市中小學生斜視罹患率之調查/ 林慧茹廖惠芬李揚銘黃韻如蔡慶皇黃瓊瑢陳宏任林正介李采娟
經濟簡便的後房人工水晶體鞏膜固定術/ 陳家祿王泰元劉秀雯林人傑邱正仁
NOCARDIA ASTEROIDES CORNEAL ULCER--A CASE REPORT/ Ching-Liang KuoHui-Kang MaRay Jui-Fang Tsai
ISOLATED MYOSITIS OF THE LEVATOR MUSCLE/ Inn-Yaing LeeJeng-Shyong Shyu
TRANSNASAL ENDOSCOPIC APPROACH FOR ORBITAL DECOMPRESSION OF THYROID ORBITOPATHY--CASE REPORT/ Cheng-Hsien ChangHwei-Zu WangChih-Feng Tai
小兒巧克力囊腫的血液動力分析-病例報告/ 林宜蓉康孟?
 
   
 
   

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