眼底中浆（The fundus.）.docVIP

眼底中浆（The fundus.） The fundus. 2015-01-15 Source: Wanzhou sunshine Eye Hospital What is? In? In how to treat? ??? In central serous chorioretinopathy referred to, is due to retinal pigment epithelium damage, formed from a common macular disease characterized by macular or near localized serous retinal nerve epithelium. In 25 ~ 45 year old male, male to female ratio difference, about 5 to 10: 1, more than 90% of unilateral, is a self limiting disease, the prognosis is good in most of the 3 to 6 months to recover, metamorphopsia and smaller; sustained for more than 1 years. However, some of the patients who are prone to relapse often suffer from the course of disease. Many times after repeated changes, extensive secondary changes in the pigment epithelium may develop in the posterior pole, resulting in permanent vision loss. ???? In the clinical manifestations of fundus: Visual acuity decline: the extent of visual loss is related to the severity of macular lesions. Persistent or recurrent symptoms can cause permanent vision impairment. ??? the central scotoma: Consciousness in front of the middle of a grey or dark grey circular shadow blocking the line of sight, gaze targets can not see the object, and the target side things but clear. This is called the macula and relative scotoma. ??? 3 and micropsia metamorphopsia: as small as bending deformation and. Due to macular edema, the gap between the cone cells of the retina is increased and irregularly arranged. ??? the fundus ophthalmoscopy: visible macular is about 1 ~ 3PD size, clear boundary discoid serous neuroepithelium. The color of the detachment zone is darker, and there is an anti - halo around it, and the central concave reflection disappears. A few weeks after the onset retinal detachment region the most visible scattered in the white spot pigmentation. At the recovery stage, subretinal fluid absorption, foveal reflex recovery, but still have shiny old yellow dots and mild pigment disorders. Fundus fluorescein