首页> 美国卫生研究院文献>Korean Journal of Ophthalmology : KJO >Choroidal Venous Pulsations at an Arterio-venous Crossing in Polypoidal Choroidal Vasculopathy
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Choroidal Venous Pulsations at an Arterio-venous Crossing in Polypoidal Choroidal Vasculopathy

机译:脉络膜脉络膜血管病的动静脉交叉处脉络膜静脉搏动

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摘要

It has been reported that pulsations in abnormal vessels are observed on indocyanine green (ICG) angiography in half of patients with polypoidal choroidal vasculopathy (PCV), although the mechanism of the pulsation is unknown. In this study, we report a case of PCV showing venous pulsations at an arterio-venous (A-V) crossing, and discuss a possible mechanism of polypoidal vessel formation and pulsations in PCV. A 66-year-old female presented with a reddish-orange elevated lesion and serous retinal detachment in the macula of her left eye, and was diagnosed as PCV. She was treated with photodynamic therapy (PDT), and followed-up through routine examinations, including ICG angiography. ICG angiography at presentation showed a branching vascular network and choroidal venules with dye leakage (polypoidal vessels) in the left eye. Pulsations, supposedly of venous origin, were observed at an A-V crossing in the abnormal vessels. Within 3 months after PDT, the polypoidal vessel ceased to leak and the pulsations vanished. The reddish-orange lesion gradually decreased in size with complete disappearance of retinal detachment. This study suggests that an unusual compression at an A-V crossing may make a venule polypoidal, and fluctuations of blood flow and pressure in the venule may cause pulsatile movements of the vessel wall.
机译:据报导,一半的息肉样脉络膜血管病(PCV)患者在吲哚菁绿(ICG)血管造影上观察到异常血管的搏动,尽管其脉动的机制尚不清楚。在这项研究中,我们报告一例PCV在动静脉(A-V)交叉处显示静脉搏动的情况,并讨论了PCV中息肉血管形成和搏动的可能机制。一名66岁的女性左眼黄斑部呈现橘红色的高位病变和浆液性视网膜脱离,被诊断为PCV。她接受了光动力疗法(PDT)的治疗,并通过常规检查(包括ICG血管造影术)进行了随访。报告中的ICG血管造影显示左眼分支血管网络和脉络膜小静脉有染料渗漏(息肉状血管)。在异常血管的A-V交叉处观察到脉搏,据说是静脉起源的。 PDT后3个月内,息肉样血管停止泄漏,搏动消失。橘红色的病变逐渐缩小,视网膜脱离完全消失。这项研究表明,A-V交叉点处的异常压缩可能会使小静脉呈息肉状,而小静脉中的血流和压力波动可能会引起脉管壁的脉动。

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