[Evaluation of cases of polypoidal choroidal vasculopathy showing classic choroidal neovascularization in their natural course].

[Evaluation of cases of polypoidal choroidal vasculopathy showing classic choroidal neovascularization in their natural course].
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[息肉样脉络膜血管病变病例的评估,显示自然病程中典型的脉络膜新生血管形成]。

DOI:
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发表时间:
2006
期刊:
Nippon Ganka Gakkai zasshi
影响因子:
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通讯作者:
M. Matsumura
M. Matsumura
中科院分区:
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文献类型:
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作者:
T. Otsuji;A. Tsumura;Kanji Takahashi;Kenichiro Sho;Y. Nagai;T. Fukuchi;A. Arisawa;M. Matsumura

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背景 一些息肉状脉络膜血管病变(PCV)病例在其自然病程中发展为经典的脉络膜新生血管(CNV),如荧光素血管造影(FA)结果所示。 受试者和方法 我们评估了8例PCV患者的8只眼睛,通过FA结果显示典型的CNV,使用吲哚菁绿色血管造影(IA)和光学相干断层扫描(OCT)。 结果 所有患者均显示视网膜下灰色渗出物,被认为是视网膜病变。5例经IA和OCT检查证实为真性视网膜下CNV。另外3例患者IA显示息肉样扩张伴血管网,OCT显示视网膜色素上皮(RPE)息肉样隆起上方的中度反射性肿块。 结论 在PCV患者中,真正的CNV和纤维蛋白PCV均存在,表现为典型的CNV。它需要小心,以确定适当的治疗。
BACKGROUND Some cases of polypoidal choroidal vasculopathy (PCV) in their natural course develop into classic choroidal neovascularization(CNV) as shown by fluorescein angiography (FA) findings. SUBJECTS AND METHOD We evaluated 8 eyes of 8 PCV patients showing classic CNV by FA findings, using indocyanine green angiography (IA) and optical coherence tomography(OCT). RESULT All patients showed subretinal grayish exudates, which were considered fibrinous. Five cases were recognized as true subretinal CNV according to IA and OCT findings. The other 3 patients showed polypoidal dilatation with vascular networks by IA, and a moderately reflective mass considered fibrinous over the polypoidal elevation of retinal pigment epithelium (RPE) by OCT. CONCLUSION Both true CNV and PCV with fibrin are present in PCV patients showing classic CNV. It requires care to determine proper treatment.