误诊为中心性浆液性脉络膜视网膜病变的视网膜毛细血管瘤一例

Ophthalmology in China（2018）

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Abstract

男性,39岁.半年前无明显诱因出现左眼视力逐渐下降,自觉视野中心黑影遮挡.否认慢性病史,无外伤史.外院诊断为左眼中心性浆液性脉络膜视网膜病变(central se-rous chorioretinopathy,CSC),予神经营养剂等治疗后无明显效果.检查:右眼视力1.0,眼前节及眼底未见异常.左眼视力0.2,眼前节及眼压正常;小瞳下眼底检查见黄斑区视网膜下灰红色病灶,周围伴黄白色点状渗出,OCT示黄斑区视网膜神经上皮层浆液性脱离,黄斑区颞侧视网膜外丛状层水肿(图1A).

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