Hypertensive choroidopathy.
Hypertensive choroidopathy.
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DOI：
10.1111/j.1524-6175.2004.3749.x
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发表时间：
2004-08-01
期刊：
影响因子：
--
通讯作者：
Marcus, Dennis M
中科院分区：
文献类型：
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作者：
Bourke, Karyn;Patel, Milan R;Marcus, Dennis M
未经治疗的全身性高血压与视网膜病变、视神经病变和脉络膜病变有关。高血压性脉络膜病比视网膜出血和梗死性高血压少见。脉络膜病的表现包括浆液性视网膜脱离、Elschnig斑点和Siegrist条纹。Elschnig斑点是脉络膜毛细血管闭塞后黄斑周围区域渗出荧光素的黄色分界性病变。当Elschnig斑愈合时，会留下一个色素斑，周围环绕着一个脱色的苍白光环。Siegrist条纹是脉络膜动脉上的线性色素斑纹。高血压性脉络膜病常见于妊娠毒血症、肾脏疾病、嗜铬细胞瘤和恶性高血压。
Untreated systemic hypertension is associated with retinopathy, optic neuropathy, and choroidopathy. Hypertensive choroidopathy is less common than retinal hemorrhages and infarcts seen with accelerated hypertension. The manifestations of choroidopathy include serous retinal detachment, Elschnig spots, and Siegrist streaks. Elschnig spots are yellow demarcated lesions in the perimacular region that leak fluorescein after occlusion of the choriocapillaris. When the Elschnig spot heals, a pigment spot is left surrounded by a depigmented pale halo. Siegrist streaks are linear hyperpigment‐ed streaks over choroidal arteries. Hypertensive choroidopathy has been reported in toxemia of pregnancy, renal disease, pheochromocytoma, and malignant hypertension.