首页|涡静脉在中心性浆液性脉络膜视网膜病变发病机制中作用的研究进展

涡静脉在中心性浆液性脉络膜视网膜病变发病机制中作用的研究进展

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中心性浆液性脉络膜视网膜病变(CSC)是中年男性视觉功能损害的主要原因之一。CSC的特征是脉络膜增厚和脉络膜血管通透性过高,从而导致浆液性视网膜下液,目前关于CSC的发病机制尚未完全阐明。自从引入吲哚青绿血管造影检查以来,关于涡静脉在CSC发病机制中发挥作用的证据不断积累,厚脉络膜的存在可能是由于涡静脉充血导致脉络膜重塑,从而通过涡静脉吻合形成新的脉络膜引流途径。涡静脉血流动力学的研究阐述了CSC发病机制的新概念,加深了对该病的理解认识,为新的治疗方法提供了理论依据。随着对CSC病理机制的进一步了解,以期能够在临床中对风险患者分层并对CSC患者评估优化的治疗方案。
The role of vortex veins in the pathogenesis of central serous chorioretinopathy
Central serous chorioretinopathy(CSC)is one of the main causes of impaired visual function in middle-aged men.CSC is characterized by a thickening of the choroid and hyperpermeability of the choroidal vessels,resulting in serous subretinal fluid.The pathogenesis of CSC is not fully understood.Since the introduction of indocyanine green angiography,the detection of the influence of the vortex veins in CSC,it has been established that the presence of a thick choroid may be caused by congestion of the vortex vein,resulting in new choroidal drainage through a vortex vein anastomosis.The study of vortex venous blood hemodynamics has elucidated the new concept of the pathogenesis of CSC,deepened our understanding of the disease,and provided a theoretical basis for new treatment methods.With a better understanding of the pathogenesis of CSC,we expect to be able to stratify patients at risk in the clinic and evaluate optimized treatment options for patients with CSC

Central serous chorioretinopathyVortex veinPathogenesisReview

肖蓓、宋艳萍、闫明、叶娅、黄珍

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南方医科大学第一临床医学院,广州 510515

中国人民解放军中部战区总医院眼科,武汉 430070

中心性浆液性脉络膜视网膜病变 涡静脉 发病机制 综述

国家重点研发计划常见多发病防治研究重点专项

2022YFC2502800

2024

中华眼底病杂志
中华医学会

中华眼底病杂志

CSTPCD北大核心
影响因子:0.928
ISSN:1005-1015
年,卷(期):2024.40(4)
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