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应用荧光血管造影方法确定眼挫伤病人的眼底改变。118例中39例有脉络膜循环障碍。其中视网膜中央动脉较脉络膜先充盈(充盈倒置)12例,充盈倒置并脉络膜局部缺血9例,脉络膜局部缺血14例,脉络膜及中央血管充盈均延迟者4例。在具有脉络膜局部缺血的23例中,21例脉络膜有局部水肿、渗漏增强和强荧光;相应部位的RPE亦损害显著,出现水肿染色或渗漏,加重了视网膜的病理过程。
Fluorescent angiography was used to determine the fundus changes in patients with eye contusion. Of the 118 cases, 39 had choroidal circulation disorders. Among them, 12 cases were filled with central retinal artery rather than choroid, 9 cases were filled with inverted choroidal ischemia, 14 cases were choroidal ischemia, 4 cases were delayed choroid and central vascular filling. In 23 cases with choroidal ischemia, there were 21 cases with local edema, enhanced leakage and strong fluorescence in the choroid. The RPE of the corresponding sites also had significant damage, edema staining or leakage, aggravating the pathological process of the retina.