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接受血液透析病人的几种眼科并发症已得到证实,在这些患者中有时可见脉络膜视网膜变性。虽然有人简要提示了此脉络膜血管改变,但这些损害很少用荧光造影来检查。作者给55例接受血液透析治疗的患者作了眼底血管荧光造影等检查,发现了10例局限性脉络膜视网膜变性(LCRD),表现为三角形斑点、视乳头周围或节段性脉络膜视网膜损害以及荧光素眼底血管造影时的局限性色素上皮改变,这可能是由于脉络膜血管失调所致。10例均为肾衰患者,年龄19~60岁,男性6例,女性4例。其中8例肾衰的原因为肾小球肾炎,另2例原因不明。血液透析持续时
Several ophthalmic complications of hemodialysis patients have been demonstrated, and choroidal retinal degeneration is sometimes seen in these patients. Although this choroidal vascular change has been briefly suggested, these lesions are rarely examined by fluoroscopy. The authors underwent fundus fluorescein angiography in 55 patients undergoing hemodialysis and found 10 cases of localized choroidal retinal degeneration (LCRD) characterized by triangular spots, peripheral retinal or segmental choroidal retinal damage, and fluorescein Fundus angiography of the limitations of pigmented epithelial changes, which may be due to choroidal vascular disorders. All 10 cases were patients with renal failure, aged 19 to 60 years, 6 males and 4 females. The cause of renal failure in 8 cases was glomerulonephritis, and the other 2 cases were unknown. Hemodialysis duration