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为探讨中心性浆液性脉络膜视网膜病变与视网膜色素上皮失代偿的关系,我们对23例视网膜色素上皮失代偿患者进行临床分析,结果23例患者自觉症状均有视物模糊、眼前暗区;眼底黄斑区色素紊乱,视网膜下黄白色细小沉着物;眼底荧光血管造影见强荧光斑点,并中心性浆液性脉络膜视网膜病变可见明显渗漏点;23例均无特殊用药5~18个月随访,视力有不同程度提高。认为本病与中心性浆液性脉络膜视网膜病变关系密切,临床症状相似,只有靠眼底荧光血管造影加以区别,并认为本病的病因与中心性浆液性脉络膜视网膜病变反复发作、迁延不愈或误用激素及扩血管药物治疗有关。
In order to explore the relationship between central serous chorioretinopathy and retinal pigment epithelial decompensation, we analyzed 23 cases of retinal pigment epithelial decompensated patients, the results of 23 patients with symptoms were blurred vision, the immediate dark area; Retinal macular degeneration, subtle yellowish-white small deposits; fundus fluorescein angiography showed strong fluorescent spots, and central serous chorioretinopathy visible leakage; 23 cases were no special medication 5 to 18 months follow-up, Visual acuity improved to varying degrees. That the disease is closely related with central serous chorioretinopathy, clinical symptoms are similar, only by fundus fluorescein angiography to be distinguished, and that the cause of the disease and central serous chorioretinopathy recurrent, delayed healing or misuse Hormone and vasodilator drug treatment.