国际眼科纵览 ›› 2013, Vol. 37 ›› Issue (3): 145-147.doi: 10 3760/ cma. j. issn.16735803 2013 03 001

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脉络膜炎症性病变诊治中的几个问题

彭晓燕  毛羽   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心  北京市眼科研究所
  • 收稿日期:2013-06-02 出版日期:2013-06-22 发布日期:2013-06-27
  • 通讯作者: 彭晓燕,Email:drpengxy@163.com E-mail:drpengxy@163.com

Diagnosis and treatment of choroiditis

PENG Xiao-yan, MAO Yu.   

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China
  • Received:2013-06-02 Online:2013-06-22 Published:2013-06-27
  • Contact: PENG Xiaoyan, Email: drpengxy@163.com E-mail:drpengxy@163.com

摘要: 脉络膜炎症的种类多,病因复杂,诊断存在困难。临床上,应以眼底病灶的形态学特征为诊断的重要依据。由于某些感染性疾病可能与非感染性疾病出现非常相似的眼底表现,因此排除特异性感染是脉络膜炎诊疗过程中的关键一步。荧光素眼底血管造影、吲哚青绿血管造影等辅助检查是诊断脉络膜疾病的重要手段。强调在正确评估患者视力危害的基础上选择恰当的治疗方法。

Abstract: Choroiditis is a group of diseases with complex etiology and its diagnosis can be challenging. Clinically, diagnosis should be based on the morphological characteristics of the fundus lesions. However, infectious diseases may sometimes show the same fundus lesions as noninfectious diseases. Therefore distinguishing the infection fators is critical during the diagnosis of choroiditis. Fundus fluorescence angiography (FFA), indocyanine green angiography (ICG) and other investigations are important tools for the diagnosis of choroidal disease. Choosing optimal treatment based on the correct evaluation of vision damages is of great significance.