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Differentiation with color visual-looking and fundus fluorescein angiography fundus examination of the relationship between_2191

By Clyde Henry,2014-10-30 15:11
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Differentiation with color visual-looking and fundus fluorescein angiography fundus examination of the relationship between_2191

Differentiation with color visual-looking and fundus

    fluorescein angiography fundus examination of the relationship between

     Abstract Objective To investigate the visual-looking

    colored (ie, Western central serous chorioretinopathy, known

    in the pulp) Differentiation of the sub-type and

    ophthalmoscopy fundus examination and check the relationship between the FFA. Methods 218 cases of patients with plasma FFA features of the performance and the respective fundus and TCM Syndrome types of comparative analysis. The results of the different pulp types of fundus permits the performance and characteristics of significant differences in FFA and rules. Conclusions pulp with different syndromes have different characteristics of fundus performance and FFA, fundus

    examination and FFA check for TCM syndrome differentiation in the pulp to provide more intuitive and accurate diagnosis.

     Key words Differential Treatment; central serous

    chorioretinopathy; fundus fluorescein angiography

     As is a common-looking color fundus diseases, the

    application of TCM treatment is an effective way to one of the modern eye the application of special examination for traditional Chinese medicine diagnosis and syndrome differentiation provides a more scientific basis. In recent

    years, Nanyang City Eye Hospital right after diagnosis of 218 cases of patients with a visual-looking colored ophthalmoscopy

    fundus examination and fundus fluorescein angiography (FFA) to check and with the TCM sub-types are compared and analyzed and

    discussed, are summarized below.

     A clinical data

     1.1 General Information of this group of 218 cases in men and 189 cases, female 29 cases, male: female was about 6.5:1, and the youngest 15 years old, maximum 53-year-old, of which

    20 to 45 years 195 cases, accounting for 89.5%. 112 cases of right eye, left eye 106 cases, 2 no significant difference. Minimum visual acuity 0.08, the maximum 1.0,0.5 more than 149 cases, accounting for 68.3%.

     1.2 Symptoms of ocular blurred vision, central dark spot,

    depending on the material colors, shapes and smaller and so on.

     1.3 ophthalmoscopy fundus examination and FFA inspection (1) with macular edema as the main performance area, FFA punctate fluorescence leakage and gradually expanded, showing

    neural epithelial detachment (abnormal fluorescence 1), 86 cases, accounting for 39.4%; (2) yellow exudative macular area as the main performance, FFA with grape cluster shaped like a circular fluorescent or fluorescence, and fluorescence was

    obscured by patchy as the main features (abnormal fluorescence 2) and 74 cases, accounting for 33.9%; (3) macular areas to pigment disorders, RPE depigmentation, or atrophy performance, FFA with pigment epithelial detachment, storage, fluorescent spots and pigment epithelial decompensation window of samples showing fluorescence as the main features (abnormal fluorescence 3) in 58 cases, accounting for 26.6%. The above three categories are based on a certain kind of fundus findings that focus on the performance can be and see the

    other, FFA can be seen in the same area showed an abnormal macular fluorescent or in some unusual fluorescence mainly at the same time and see the 2 or more than two kinds of abnormal fluorescence.

     1.4 TCM

     1.4.1 moisture on the pan-card symptoms: blurred vision,

    facing a colored shadow, depending on the objects become smaller or deformation; chest tightness, torpid intake Oue, stool thin pond; fur creamy; pulse moisten or slippery. Governing law: Lee Water Shenshi. Recipe: Four-Ling San

    addition and subtraction.

     1.4.2 phlegm of heat syndrome symptoms: blurred vision, eyes brown shadow, depending on the objects become smaller or deformation; Zhongwan abdominal fullness, torpid intake Oue, a short red urine; mamillata yellow greasy moss; pulse moisten a few. Governing law: Shugan Jieyu, spleen dampness. Recipe: Three-Ren Decoction.

     1.4.3 lack of permits liver and kidney symptoms: blurred vision, eyes can see dark gray shadow, depending on the objects become smaller or deformation; dizziness, tinnitus, Yaoxisuanruan; mamillata less moss; veins fine. Governing law: nourishing liver and kidney, and blood eyesight. Recipe: Four things five sub-Pill.

     1.5 TCM and ophthalmoscopy fundus examination and inspection of the relationship between FFA

     1.5.1 moisture on the pan-card 91 cases, accounting for

    41.7%; which: (1), macular edema as the main performance area with 23 cases (10.6%), macular edema as the main performance area in order to seepage or a small dot pigment abnormalities

    as minor performers in 41 cases (18.8%). The 64 cases of FFA to the main features of an abnormal fluorescence; (2) to yellow-white exudative macular area as the main performance to edema and pigment abnormalities as minor manifestations in 16

    patients (7.3%), the FFA in order to abnormal fluorescence 2 as the main characteristics; (3) macular pigment abnormalities with the main performance to edema and the secondary leakage performance of small, 11 cases (5.0%), the FFA to 3 as the

    main features of abnormal fluorescence.

     1.5.2 phlegm of 78 cases of heat syndrome, accounting for 35.8%. Of which: (1) to yellow-white exudative macular area as

    the main performance to edema and pigment abnormalities as minor manifestations of 48 patients (22.0%), the FFA in order to abnormal fluorescence two main features; (2), macular edema as areas to the main performance to yellow-white exudate and

    pigment abnormalities as minor manifestations in 17 cases (7.8%), the FFA to one of the main features of abnormal

    fluorescence; (3) macular pigment abnormalities as the main areas to the performance, to yellow-white exudate and edema

    the performance of the secondary in 13 cases (6.0%), the FFA to 3 as the main features of abnormal fluorescence. Reposted

    elsewhere in the paper for free download http://

     Less than 49 cases of liver and kidney 1.5.3 license, accounting for 22.5%. Of which: (1) macular areas to pigment disorders, RPE depigmentation, or atrophy as the main performance to the performance of exudate deposition of the secondary there were 34 cases (15.6%), the FFA to 3 as the main characteristics of abnormal fluorescence; ( 2) exudative macular area with yellow and white as the main performance to the performance of pigment abnormalities as minor, 10 cases

    (4.6%), the FFA to abnormal fluorescence two main features; (3) with macular edema as the main performance area, to pigment abnormal or leaking as a secondary performance in 5 patients (2.3%), the FFA to the main features of an abnormal

    fluorescence.

     2 Discussion

     Visual-looking colored, also known as "as straight as music," "as small as a big" disease name found in "Treatment of Miscellaneous Diseases seven tips yardstick", the equivalent of Western medical science central serous

    chorioretinopathy (hereinafter referred to in the pulp) [1]. Clinical to consciously blurred vision, central shadow, depending on the material colors, shapes as the main performance. The main etiology and pathogenesis of diet-off

    section or thought-or rather, internal injuries in the spleen, the spleen is not health movement, moisture on the pan; or wet-poly as a sputum, Yu suppress the heat of the previous disturbance clear awakened; or hepatorenal two losses, refined blood, head to support displaced. Modern medical studies

    suggest that the incidence of retinal pigment epithelial barrier dysfunction relating to, characterized by serous macular retinal detachment or combined pigment epithelial detachment [2]. Western medicine in the treatment of the non-

    specific drug therapy [3]. TCM Differential Treatment can shorten the course of the disease in patients accelerate edema subsided and the absorption of exudate, reducing the plane of film-related macular generation and macular retinal pigment epithelium atrophy of the ribbon. However, by historical conditions, the traditional Chinese medicine knowledge and observation of the disease is still relatively limited, with the development of modern science and advanced medical equipment applications, eye on the understanding and diagnosis

    of retinal diseases, new developments, how to the syndrome

    differentiation of traditional Chinese medicine and modernization of the advantages of advanced medical equipment, diagnostic advantages of organically integrate, from which to

    explore a more comprehensive, intuitive, accurate diagnosis and treatment, clinical medical care will be a very practical significanceWork. Therefore, in recent years in our hospital in clinical practice, the slurry of 218 cases of patients with

    syndrome differentiation in traditional Chinese medicine-type

    and ophthalmoscopy fundus examination and FFA examination, analyzed and summarized by comparing and found: (1) moisture on the pan-card patient mostly macular edema as the main performance to a little yellow-white exudate and pigment

    abnormalities as a secondary performance, FFA Zeyi several or more of the dot fluorescence leakage, and gradually expanded as the main feature, other unusual features of the secondary fluorescence . (2) of phlegm heat syndrome in patients with

    exudative macular area mostly yellow and white as the main performance to edema and pigment abnormalities as a secondary performance, FFA Zeyi grape-like round-shaped fluorescent dots

    or clusters have been blocked fluorescence and fluorescence

    The spot-like as the main feature, other unusual features of fluorescence as a secondary. (3), liver and kidney lack of permits patients with macular pigment disorders, Tuo Shi and pigment epithelium atrophy ribbon as the main performance to

    yellow-white exudative effusion, or edema, or old secondary performance, FFA Zeyi pigment epithelial detachment , storage, fluorescent spots and pigment epithelial decompensation window of samples showing fluorescence as the main feature, other unusual features of fluorescence as a secondary. The above three types of fundus can be seen all different degrees of macular retinal pigment disorders, foveal light reflex disappeared or weakened. Fundus fluorescein angiography is often based on an unusual fluorescence-based, but see the two

    kinds of part-or even more than two kinds of abnormal

    fluorescence. From the above analysis of observation, we can see the various TCM syndrome types of fundus features of the performance and FFA is significantly different, which

    summarizes the different types of fundus permits the performance and characteristics of changes of FFA. In clinical

    practice, I apply this discipline to the plasma in patients with syndrome differentiation of Chinese medicine practitioners to obtain satisfactory results.

     References

     1 Qing-Hua Zeng. Chinese ophthalmology. Beijing: China Traditional Chinese Medicine Press, 2003,204.

     2 Peng Guang-hua, LI Zhi-Jie, Li Chen. A modern ophthalmic therapeutics. Guangzhou: Guangdong Science and Technology Press, 2001,426.

     3 HUI Yan-nian. Ophthalmology. Beijing: People's Health Publishing House, 2004,176. Reposted elsewhere in the paper for free download http://

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