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老人性円盤状黄斑部変性症における網膜色素上皮剥離と脈絡膜新生血管
https://doi.org/10.15114/smj.56.437
https://doi.org/10.15114/smj.56.437170fc8d3-289a-4d1e-8d50-82de6cafe6d8
名前 / ファイル | ライセンス | アクション |
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n0036472X564437.pdf (2.3 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2019-08-16 | |||||
タイトル | ||||||
タイトル | Retinal Pigment Epithelial Detachment and Choroidal Neovascularization in Senile Disciform Macular Degeneration | |||||
言語 | en | |||||
タイトル | ||||||
タイトル | 老人性円盤状黄斑部変性症における網膜色素上皮剥離と脈絡膜新生血管 | |||||
言語 | ja | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Senile macular degeneration | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Pigment epithelial detachment (PED) | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Choroidal neovascularization | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Notch sign | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Fluorescein angiography | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.15114/smj.56.437 | |||||
ID登録タイプ | JaLC | |||||
著者 |
Takeda, Muneyasu
× Takeda, Muneyasu× Miyabe, Yasuko |
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著者別名 | ||||||
識別子Scheme | WEKO | |||||
識別子 | 26746 | |||||
姓名 | 竹田, 宗泰 | |||||
著者別名 | ||||||
識別子Scheme | WEKO | |||||
識別子 | 26747 | |||||
姓名 | 宮部, 靖子 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Senile disciform macular degeneration is classified into two groups: the pigment epithelial detachment (PED) group and the non-pigment epithelial detachment group. It is not clear whether choroidal neovascularization occurs in the PED group, although it has been shown that choroidal neovascularization takes place in the latter group. The purpose of the present study is to investigate the relationship between PED and choroidal neovascularization, visual prognosis, and the probability of photocoagulation for PED in senile disciform macular degeneration. Our retrospective study consists of 29 consecutive untreated patients (30 eyes) over 50 years of age all having PEDs except for one patient. The results are as follows: 1. Detachment was defined as serous (S-PED) in 9 eyes, combined (C-PED) in 12 eyes, and hemorrhagic (H-PED) in 9 eyes. 2. Detachment larger than 5 disc diameters was discovered in 1 of the 9 eyes (11.1%) in S-PED, none in the 12 eyes (0%) in C-PED, and 3 of the 9 eyes (33.3%) in H-PED. 3. Incidence of the notch sign was observed in 56% of S-PED, 67% in C-PED, and 89% in H-PED. In proportion to the extent of hemorrhage in the PED, incidence of the notch sign was increased. Abnormal hyperfluorescence was detected quite close to PED in all the patients under fluorescein angiography. 4. We classified the abnormal hyperfluorescence including the notch sign into three types based on the angiograms: patch-, tuft-, and reticular. These types were nearly always found to have subpigment epithelial neovascularization. The shape was different from those of pigment epithelial detachment (PED), and early irregular filling and late slight leakage of the dye were different from those of pigment epithelial detachment (PED) and atrophy of the retinal pigment epithelium (RPE). 5. Prognosis for visual acuity was rather good. However, it is highly possible that we can directly treat choroidal neovascularization in a notch, which is not covered with subpigment epithelial blood, before neovascular membrane reaches the center of the foveal avascular zone. Although a large number of PED were involved in the fovea at the time of the intial visit. | |||||
書誌情報 |
札幌医学雑誌 = The Sapporo medical journal en : The Sapporo medical journal 巻 56, 号 4, p. 437-446, 発行日 1987-08-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0036-472X | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | 札幌医科大学医学部 |