息肉状脉络膜血管病变的诊断及治疗进展

摘要

Polypoidal choroidal vasculopathies share some clinical presentations with neovascular age-related macular degeneration,but differ in epidemiology and prognosis as well as in the response to treatments.Diagnosis requires the use of indocyanine green angiography.Optical coherence tomography provides more information about the pathophysiology of this disorder. Treatments, including laser photocoagulation, transpupillary thermotherapy,anti-VEGF drug injection and glucocorticoid injection have various degrees of effectiveness.This review highlights advances in the diagnosis and treatment of polypoidal choroidal vasculopathy.%息肉状脉络膜血管病变与新生血管性年龄相关性黄斑病变表现较为相似,但二者在流行病学特点、预后及治疗反应等方面均有所不同.吲哚青绿血管造影为息肉状脉络膜血管病变诊断的金标准,光学相干断层扫描进一步提供了其病变的立体影像.临床上息肉状脉络膜血管病变可以采用激光光凝、经瞳孔温热疗法、光动力治疗、抗血管内皮细胞生长因子药物注射、激素注射等治疗措施,疗效不一.现对息肉状脉络膜血管病变诊断、治疗进展及预后做一综述.