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頁籤選單縮合
題名 | Polypoidal Choroidal Vasculopathy in Taiwan=臺灣地區之息肉狀脈絡膜血管病變 |
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作者 | 楊嶺; 陳珊霓; | 書刊名 | 長庚醫學 |
卷期 | 27:5 2004.05[民93.05] |
頁次 | 頁366-372 |
分類號 | 416.746 |
關鍵詞 | 息肉狀脈絡膜血管病變; 脈絡膜新生血管; Polypoidal choroidal vasculopathy; Choroidal neovascularization; |
語文 | 英文(English) |
中文摘要 | 背景:息肉狀脈絡膜血管病變自1980年代開始被討論,各國所報告的流行病學和疾病表現並一致。我們透過此系列病例報告首次提出此疾病在臺灣本地的表現情形。 方法:我們回顧2000年1月至2001年10月間於林口長庚醫院視網膜門診被診斷為息肉狀脈絡膜血管病變病患之病歷。 結果:共有8位病患(9隻眼睛)被納入本次研究。男性佔6人。平均年齡60.9歲(範圍48-72歲)。其中1人為雙側性。病灶在黃斑部有9眼,在視神經盤週圍有2眼。追蹤16.5個月後。視力進步Snellen chart 兩行或以上有1眼(1/9),惡化兩行或以上有4眼(4/9),保持穩定有4眼(4/9),最後視力小於20/200者有7眼(7/9)。共有5眼(5/9)產生狀疤痕。 結論:本疾病表現可能因人種不同而有所不同。此疾病在臺灣人之預後較差可能是由於有較高比例的病患產生黃斑部疤痕造成。 |
英文摘要 | Background: Ploypoidal choroidal vasculopathy (PCV) has been described since the 1980s with great variations in patient data in different countries. We report the first case series in the Taiwanese population. Methods: We reviewed the medical records of all patients diagnosed with PCV between January 2000 and October 2001 at the retina clinics of Chang Gung Memorial Hospital. Results: Eight patients (9 eyes) were enrolled. Six were men. The average age was 60.9 (range, 48-72). One patient had bilateral disease. All of the 9 eyes had polypoidal lesions in the macular area; 2 eyes had peripapillary lesions. The average follow-up time was 16.5 months. One eye (1/9) improved more than lines in the Snellen chart, 4 eyes (4/9) deteriorated more than 2 lines. Seven eyes (7/9) Had final visual acuities worse than 20/200 and 5eyes (5/9) developed disciform scarring. Conclusions: The prognosis of PCV among Taiwanese patients seems worse than in other ethnic groups. A high incidence of disciform scar formation and predominantly centrally located polypoid lesions seem to play an important role in the poor prognosis. @@@ |
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