特殊型之急性中心漿液性脈絡膜視網膜症之臨床研究

Clinical Study on Special Forms of Acute Central Serous Chorioretinopathy

10.30048/ACTASOS.199112.0136

吳文權(Wen-Cheng Wu)

acute central serous chorioretinopathy ； typical pattern ； special forms ； RPE abnormalities

台灣眼科醫學會會刊

30卷4期（1991 / 12 / 04）

69 - 75

繁體中文

本院眼科自民國79年元月起至79年12月底為止，總共收集45個急性期中心漿液性脈絡膜視網膜症之病例，根據眼底螢光攝影來統計特殊型之比例；結果顯示，合併視網膜色素層代償不全者有9例(19.6%)，合併色素層剝離者有5例(10.9%)，合併視網膜下方液體移行者有3例(6.5%)，總計特殊型共有17例，高達37.0%，且大多與色素層異常有關，因此我們支持一個較新的觀念：CSCR實際上是一種RPE dyspfunction所導致之疾病，而不是如眼底螢光攝影上所見的一個RPE局部滲漏而已。

From January 1990 to December 1990, we had collected 45 cases of acute CSCR. In our study, there were 9 cases (19.6%) associated with retinal pigment epithelium decompensation, 5 cases (10.9%) associated with retinal pigment epithelial detachment, and 3 cases (6.5%) associated with migration of subretinal fluid. The total percentage of these special forms was 37.0%, and most of the special forms were related to RPE abnormalities. All these can support the new concept that a disease like central serous chorioretinopathy is more a disease of RPE dysfunction than a disease of the ”focal leak” seen on angiography.