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有黄斑玻璃疣的老年患者,大面积浆液性视网膜色素上皮(RPE)脱离可为其中心视力丧失的最初原因。Gass等曾介绍光凝作为治疗大面积RPE浆液性脱离的方法。本文作者回顾研究大的浆液性RPE脱离患者的光凝治疗结果及其自然过程。近10年内作者所见浆液性RPE脱离病例不包括原发性中心性浆液性视网膜病变、血管样线条、近视性退行性变、视网膜毯层变性、眼内炎症及外伤者。31例有黄斑玻璃疣及因RPE浆液性脱离所致视力丧失符合下述标准:①RPE浆液性脱离侵犯黄斑中心并≥1PD;②双眼有老年性黄斑退行性变表现,如玻璃疣、RPE紊乱;③无脉胳膜新生血管形成的表现。④全部患者至
In elderly patients with macular drusen, large areas of serous retinal pigment epithelium (RPE) detachment may be the primary cause of central vision loss. Gass et al. Have described photocoagulation as a method of treating large area RPE serous detachment. The authors review the results of photocoagulation and its natural processes in patients with large serous RPE detachment. The cases of serous RPE detachment seen by the authors in the recent 10 years did not include primary central serous retinopathy, vascular-like lines, myopic degeneration, retinal degeneration, intraocular inflammation and trauma. 31 cases of macular drusen and due to RPE serous detachment due to loss of vision consistent with the following criteria: ① RPE serous detachment violated macular center and ≥ 1PD; ② eyes with age-related macular degeneration, such as drusen, RPE disorders; ③ no pulse angiography neovascularization performance. ④ all patients to