黄斑下脉络膜毛细血管疾病特别复杂,经过二百多年来的广泛研究和探索,虽然对黄斑下脉络膜的结构、功能及其常见疾病积累了许多资料,但仍有一些问题至今尚无一致的认识。近年来,利用组织化学、二烯橡胶(neoprene)血管灌注、荧光血管造影和树脂血管铸型标本等新技术,在该领域做了许多实验和临床工作,获得了对正常的黄斑下脉络膜组织结构及其血循环的新认识,从而加深了对基本病理改变的理解,取得了在探索黄斑下脉络膜毛细血管疾病的病因、发病机理、诊断和治疗方面的新进展。尤其是眼底荧光血管造影术将黄斑下脉络膜毛细血管从静止的形态学观察转变为活体循环动力学的动 Under the macular choroidal capillary disease is particularly complex, after more than two hundred years of extensive research and exploration, although the macular choroidal structure, function and common diseases accumulated a lot of information, but there are still some problems so far there is no consistent understanding . In recent years, the use of histochemistry, neoprene vascular perfusion, fluorescein angiography and resin vascular cast specimens and other new technologies in the field to do a lot of experimental and clinical work, obtained the normal macular choroidal tissue structure And its new understanding of the blood circulation, thus deepening the understanding of the basic pathological changes, made in exploring the etiology, pathogenesis, diagnosis and treatment of macular choriocapillaris disease new progress. In particular, fundus fluorescein angiography transforms the subcapsular choroidal capillaries from resting morphological observations to living-cycle kinetics