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目的 :通过临床观察 ,分析放射性视网膜病变的临床表现特点。方法 :回顾分析 8例有确切放射线接触史患者的眼底临床表现、眼底荧光血管造影、吲哚青绿造影、视网膜光凝结果 ,随访变化情况 ,并与其常见眼底血管性病变进行比较。结果 :棉絮斑和毛细血管无灌注区 9只眼 ,硬性渗出 7只眼 ,出血斑 8只眼 ,2只眼视神经萎缩 ,7只眼接受视网膜光凝治疗。结论 :放射性视网膜病变临床表现有一定特征 ,结合病史可明确诊断。
Objective: To analyze the clinical manifestations of radiation-induced retinopathy by clinical observation. Methods: The clinical manifestations of ocular fundus, fundus fluorescein angiography, indocyanine green contrast, retinal photocoagulation results and follow-up were retrospectively analyzed in 8 patients with definite radiographic history and compared with their common retinal vascular lesions. RESULTS: Nine eyes of cotton wool spot and capillaries without perfusion, seven eyes of rigid exudate, eight eyes of bleeding spot, optic atrophy of two eyes and retinal photocoagulation in seven eyes. Conclusion: The clinical manifestations of radiation retinopathy have some characteristics, combined with medical history can be clearly diagnosed.