Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (5): 115-122.doi: 10.6040/j.issn.1673-3770.0.2022.361

• Original Article • Previous Articles     Next Articles

Study on the change of OCTA and its correlation with visual acuity in patients with CSC before and after TCM syndrome differentiation and treatment

ZHANG Xiaohan1, WEI Li2, YANG Kaili3, CHEN Haiyan1, LI Yansong1, WANG Ping3   

  1. 1. Affiliated Hospital of Weifang Medical University (School of Clinical Medicine), Weifang 261053, Shandong, China2. Ophthalmology department, Second People' Hospital of Jinan, Jinan 250000, Shandong, China3. Eye Center, Affiliated Hospital of Weifang Medical University, Weifang 261000, Shandong, China
  • Published:2023-10-13

Key words: Central serous chorioretinopathy, Optical coherence tomography angiography, Traditional Chinese Medicine syndrome differentiation and treatment, Choroid; Macular area

CLC Number: 

  • R774.5
[1] 杨秀芬, 尤冉, 马秀梅, 等. 以医院为基础的中心性浆液性脉络膜视网膜病变流行病学调查及危险因素的研究[J]. 山东大学耳鼻喉眼学报, 2020, 34(4): 75-79. doi:10.6040/j.issn.1673-3770.1.2020.043 YANG Xiufen, YOU Ran, MA Xiumei, et al. Prevalence and risk factors of central serous chorioretinopathy in a hospital-based population[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 75-79. doi:10.6040/j.issn.1673-3770.1.2020.043
[2] 李凤鸣, 谢立信. 中华眼科学[M]. 3版. 北京: 人民卫生出版社, 2014: 2118-2120
[3] 彭清华. 中医眼科学[M]. 1版. 北京: 中国中医药出版社出版, 2016: 179-181
[4] Guyer DR, Yannuzzi LA, Slakter JS, et al. Digital indocyanine green videoangiography of central serous chorioretinopathy[J]. Arch Ophthalmol, 1994, 112(8): 1057-1062. doi:10.1001/archopht.1994.01090200063023
[5] Spitznas M. Pathogenesis of central serous retinopathy: a new working hypothesis[J]. Graefes Arch Clin Exp Ophthalmol, 1986, 224(4): 321-324. doi:10.1007/BF02150023
[6] Daruich A, Matet A, Dirani A, et al. Central serous chorioretinopathy: Recent findings and new physiopathology hypothesis[J]. Prog Retin Eye Res, 2015, 48: 82-118. doi:10.1016/j.preteyeres.2015.05.003
[7] Zhao M, Célérier I, Bousquet E, et al. Mineralocorticoid receptor is involved in rat and human ocular chorioretinopathy[J]. J Clin Invest, 2012, 122(7): 2672-2679. doi:10.1172/JCI61427
[8] 粟海峰. 中医治疗中心性浆液性脉络膜视网膜病变疗效观察[J]. 中外医疗, 2014, 33(19): 136-137. doi:10.16662/j.cnki.1674-0742.2014.19.092
[9] 薛玙. 中医辨证治疗中心性浆液性脉络膜视网膜病变临床分析[J].中国继续医学教育, 2017(21): 190-191. doi:10.3969/j.issn.1674-9308.2017.21.100 XUE Yu. Clinical Analysis of Central Serous Chorioretinopathy With TCM Syndrome Differentiation[J]. China Continuing Medical Education, 2017(21): 190-191. doi:10.3969/j.issn.1674-9308.2017.21.100
[10] 周爱娟. 中医辨证治疗中心性浆液性脉络膜视网膜病变108例[J]. 中国中医急症, 2009, 18(10): 1709-1710. doi:10.3969/j.issn.1004-745X.2009.10.092
[11] 许慧蕾, 钟旻轶, 张琪, 等. 五苓散加减治疗中心性浆液性脉络膜视网膜病变临床研究[J]. 南京中医药大学学报, 2017, 33(3): 245-247. doi:10.14148/j.issn.1672-0482.2017.0245 XU Huilei, ZHONG Minyi, ZHANG Qi, et al. Clinical Study of Modified Wuling Powder in the Treatment of CSC [J]. Journal of Nanjing University of Traditional Chinese Medicine, 2017, 33(3): 245-247. doi:10.14148/j.issn.1672-0482.2017.0245
[12] 张日新,侯瑞昌. 逍遥散治疗中心性浆液性脉络膜视网膜病变临床研究[J]. 实用中医药杂志, 2017, 33(6): 607-608. doi:10.3969/j.issn.1004-2814.2017.06.002
[13] 凡素伟. 中医药辨证治疗中心性浆液性视网膜脉络膜炎临床观察[J]. 辽宁中医药大学学报, 2009, 11(4): 152-153. doi:10.13194/j.jlunivtcm.2009.04.154.fansw.014 FAN Suwei. TCM Syndrome-differentiation and Treatment of Chronic Conjunctivitis[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2009, 11(4): 152-153. doi:10.13194/j.jlunivtcm.2009.04.154.fansw.014
[14] 施丽.中医治疗中心性浆液性脉络膜视网膜病变的临床观察[J]. 中国继续医学教育, 2017, 9(7): 202-204. doi:10.3969/j.issn.1674-9308.2017.07.112 SHI Li. Clinical Observation of Traditional Chinese Medicine in the Treatment of Central Serous Retinopathy[J]. China Continuing Medical Education, 2017, 9(7): 202-204. doi:10.3969/j.issn.1674-9308.2017.07.112
[15] 董玉, 王鹏, 张昆, 等. 中医辨证联合复方樟柳碱治疗中心性浆液性脉络膜视网膜病变[J]. 现代中西医结合杂志, 2012, 21(18): 1991-1992. doi:10.3969/j.issn.1008-8849.2012.18.030
[16] 郭敬丽, 丁心怡, 邬海翔, 等. 急性中心性浆液性脉络膜视网膜病变患眼光相干断层扫描血管成像观察[J]. 中华眼底病杂志, 2017, 33(5): 494-497. doi:10.3760/cma.j.issn.1005-1015.2017.05.013 GUO Jingli, DING Xinyi, WU Haixiang, et al. The features of optical coherence tomography angiography in acute central serous chorioretinopathy eyes[J]. Chinese Journal of Ocular Fundus Diseases, 2017, 33(5): 494-497. doi:10.3760/cma.j.issn.1005-1015.2017.05.013
[17] 许发宝, 周立军, 巩亚军, 等. 应用光学相干断层扫描血管成像技术评价中心性浆液性脉络膜视网膜病变视网膜及脉络膜的微循环变化[J]. 中山大学学报(医学版),2018, 39(4): 566-572. doi:10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2018.0079 XU Fabao, ZHOU Lijun, GONG Yajun, et al. Evaluation of the microcirculation changes in retina and choroid of central serous chorioretinopathy by using optical coherence tomography angiography[J]. Journal of Sun Yat-sen University(Medical Sciences), 2018, 39(4): 566-572. doi:10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2018.0079
[18] 张艺凡, 高瑜珠, 许瀚月, 等. 急性与慢性中心性浆液性脉络膜视网膜病变患眼黄斑区脉络膜毛细血管层血流密度及中大血管容积的量化分析[J]. 中华眼底病杂志, 2021, 37(2): 122-126. doi:10.3760/cma.j.cn511434-20210119-00037 ZHANG Yifan, GAO Yuzhu, XU Hanyue, et al. Quantitive analysis of the choriocapillaris flow density and choroidal vessel volume of acute and chronic central serous chorioretinopathy[J]. Chinese Journal of Ocular Fundus Diseases, 2021, 37(2): 122-126. doi:10.3760/cma.j.cn511434-20210119-00037
[19] 杨智, 王海林. 不同病灶活动程度的中心性浆液性脉络膜视网膜病变患眼脉络膜毛细血管扩张程度、中心凹下脉络膜厚度及其相关性分析[J]. 中华眼底病杂志, 2016, 32(3): 261-265. doi:10.3760/cma.j.issn.1005-1015.2016.03.008 YANG Zhi, WANG Hailin. The degree of choriocapillary ectasia and sub-foveal choroidal thickness in central serous chorioretinopathy with different activity and the correlation analysis among them[J]. Chinese Journal of Ocular Fundus Diseases, 2016, 32(3): 261-265. doi:10.3760/cma.j.issn.1005-1015.2016.03.008
[20] Romdhane K, Zola M, Matet A, et al. Predictors of treatment response to intravitreal anti-vascular endothelial growth factor(anti-VEGF)therapy for choroidal neovascularisation secondary to chronic central serous chorioretinopathy[J]. Br J Ophthalmol, 2020, 104(7): 910-916. doi:10.1136/bjophthalmol-2019-314625
[21] 商玉林, 张茂菊. 中心性浆液性脉络膜视网膜病变的中西医治疗进展[J]. 医学理论与实践, 2021, 34(3): 397-399.doi:10.19381/j.issn.1001-7585.2021.03.013
[22] 李瑛瑛, 郭登山. 急性中心性浆液性脉络膜视网膜病变患者视网膜毛细血管血流密度及黄斑无血管区特征分析[J]. 中国基层医药, 2020, 27(22): 2773-2776. doi:10.3760/cma.j.issn.1008-6706.2020.22.019 LI Yingying, GUO Dengshan. Analysis of the characteristics of capillary blood flow density and macular avascular area of retina in patients with acute central serous chorioretinopathy[J]. Chinese Journal of Primary Medicine and Pharmacy, 2020, 27(22): 2773-2776. doi:10.3760/cma.j.issn.1008-6706.2020.22.019
[23] Mao J, Lin J, Zhu L, et al. Quantitative assessment of retinal capillary vessel density and foveal avascular zone area in central serous chorioretinopathy using OCTA[J]. Ophthalmologica, 2020, 243(5): 370-378. doi:10.1159/000504053
[1] LI Lu, ZHAO Jie, ZHAO Bojun. Research progress on the pathogenesis and treatments of central serous chorioretinopathy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 118-124.
[2] TANG Huixin, LI Jingjing, ZOU Hong. Mechanism and clinical applications of subthreshold diode micropulse laser [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 143-148.
[3] LI Pengwei, SU Guangming, LIU Jiangchuan, MU Yalin. Application of optical coherence tomography angiography in macular telangiectasia type 2 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 140-144.
[4] TANG Feiran, KONG XiangyunOverview,SHEN JiaquanGuidance. Research progress in the role of OCTA in measuring superficial peripapillary vessel density in the diagnosis and treatment of glaucoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 77-82.
[5] YANG Ru, ZHANG Yuguang, XU Xianghui, WU Xuelian, TAO Yuan, TAN Yue. A clinical study on the effect of phacoemulsification on the retinal structure in the macular region of senile cataract [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 97-102.
[6] ZHANG Xinyu,,LEI Chunyan, ZHANG Meixia. Retinochoriodal changes associated with silicone oil tamponade detected by optical coherence tomography and optical coherence tomography angiography [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 132-136.
[7] Ocular ischemic syndrome(OIS)is usually undiagnosed or misdiagnosed due to its asymptomatic onset, complicated ocular manifestations, and the lack of awareness, and patients with OIS have a higher mortality. Improving the understanding, diagnosis, and treatment of OIS through multidisciplinary collaboration is key to investigating and preventing systemic vascular events as well as decreasing blindness and mortality. This review summarizes the recent advances in the epidemiology, clinical diagnosis, and management of OIS.. Recent ocular ischemic syndrome advancesWANG Luping Overview HUANG Yingxiang, WANG Yanling Guidance Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaAbstract: [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 23-27.
[8] To describe characteristics and risk factors associated with central serous chorioretinopathy(CSC)in a hospital-based outpatient sample population. MethodsIn this hospital-based cross-sectional study, CSC patients were recruited from the Beijing Friendship Hospital from 01/2019 to 12/2019. All participants underwent a standardized interview. Logistic regression models were used to assess the risk factors associated with CSC. ResultsA total of 23,878 outpatients were recorded during the period 01/2019-12/2019. Of these, 45 patients(0.19%)were diagnosed with CSC, divided in 37 male patients(82.22%)and 8 female patients(17.78%). The patients′ age ranged from 21 to 65(42.3±10.1)years. Three patients(6.67%)presented a bilateral involvement. Of all the patients, 39 were included in the present analysis. Control patients were matched for age and sex at a ratio of 1:1. The presence of CSC was associated with exposure to steroids(OR=5.04, 95% CI:1.11-22.89), sleep time(going to sleep after 12 pm)(OR=4.16, 95% CI:1.33-13.04)),and shift-work(OR=5.74, 95% CI:1.47-22.45).ConclusionsOur data showed that CSC prevalence in the analyzed outpatients was 0.19%. Exposure to steroids, sleep time, and shift-work were factors related with CSC in the observed population.. Prevalence and risk factors of central serous chorioretinopathy in a hospital-based population YANG Xiufen, YOU Ran, MA Xiumei, WANG Kang, WANG Yanling Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaAbstract:Objective〓 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 75-79.
[9] LI Rui, LI Yong, XIE Hongtao, YUE ZhangXian, LIU Zhaochen, YUAN huimin. Effects of intraocular lens implantation and postoperative intraocular pressure fluctuations on the fundus macular and optic disc vascular density [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 89-92.
[10] LIANG Qianqian, YANG Tinghua, ZHAO Bojun. Application of optical coherence tomography angiography in retinal vein occlusion [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 139-142.
[11] WANG Guanghui, YOU Xinying, ZHANG Dan, L Fuli
. Optical coherence tomography combined with fundus photochromy in locating central serous chorioretinopathy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(1): 87-89 .
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!