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Occultchoroidalneovascularization 或是 …

(49)1 Occultchoroidalneovascularization polypoidalchoroidalvasculopathy? (age relatedmaculardegeneration,AMD) (Fluoresceinangiography FAG) (dryAMD) (wet/exudativeAMD) AMD classicchoroidalneovascularization(CNV) occultCNV ClassicCNV occultCNV (pigmentepithelialdetachment,PED) FAG classicCNV hyperfluorescentmembrane fluorescenceleakage occultCNV hyperfluorescentspots (hyperfluorescencewithundeterminedorigin ) PED hyperfluorescentpooling AMD classicCNV occultCNV polypoidalchoroidalvasculopathy(PCV)

學 術 專 欄 中眼會訊(49) 1 學術專欄 Occultchoroidalneovascularization 或是polypoidalchoroidal vasculopathy? 台北榮總眼科部視網膜科 劉怜瑛

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Transcription of Occultchoroidalneovascularization 或是 …

1 (49)1 Occultchoroidalneovascularization polypoidalchoroidalvasculopathy? (age relatedmaculardegeneration,AMD) (Fluoresceinangiography FAG) (dryAMD) (wet/exudativeAMD) AMD classicchoroidalneovascularization(CNV) occultCNV ClassicCNV occultCNV (pigmentepithelialdetachment,PED) FAG classicCNV hyperfluorescentmembrane fluorescenceleakage occultCNV hyperfluorescentspots (hyperfluorescencewithundeterminedorigin ) PED hyperfluorescentpooling AMD classicCNV occultCNV polypoidalchoroidalvasculopathy(PCV)

2 Retinalangiomatousproliferativedisease(R AP) Polypoidalchoroidalvasculopathy 20 80 60 (polyps) PED (Indocyaninegreenangiography,ICG) PCV PCV PED PED FAG ICG CNV PCV ICG hyperfluorescentvascularchannelswithpoly ps FAG occult classicCNV ICG PCV (22/204 )FAG AMD ICG PCV PED AMD (96/164 ) ICG PCV FAG occultCNVwithPED ICG PCV (49)2 75 countingfingerat30 6/60 PED( ) FAG stipplinghyperfluorescence PED hyperfluorescentpooling hyperfluorescentleakage pooling( ) occultCNVwithPED pigmentepithelialdetachment(PED) FAG stipplinghyperfluorescentleakage PED hyperfluorescentpooling ICG hyperfluorescentnodules nodules PED blockedfluorescent( ) Opticalcoherenttomography(OCT) PED( ) ICG guidedphotodynamictherapy(PDT)

3 Avastin PCV PDT occultCNV PED PED ( ) (49)1 ICG fovea hyperfluorescentnodules PED hyperfluorescentblockage OCT PED PED FAG FAG PED Indocyaninegreen 805nm 835nm sodiumfluorescein indocyaninegreen 98% (fenestratedchoriocapillaris) PED ICG hypofluorescence PED PCV AMD subtype CNV Occult classicCNV PCV PCV hemorrhagicPED PCV PCV argonlaserphotocoagulation polyps PCV PDT PDT PCV PDT PDT PDT ICG guided PDT PDT anti VEGF PCV AMD classicCNV occultCNV classicCNV (49)2 PED ICG PCV classic occultCNV ,TakahashiK,YamadaH.

4 Incidence,demographicfeatures, 121:1392 ,DonsoffIM,HuangSJ, 49:25 ,TakahashiM, 137:770 ,SasaharaM,YodoiY, 144:7 ,OberMD,FreundKB, 27:825 ,OhjiM,SayanagiK, yearoutcomesofphotodynamictherapyinage 115:141 ,FlowerRW,SlakterJS(eds). yearbook.