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摘要


榮民總醫院眼科視網膜門診從民國66年1月到民國70年12月,5年間經診斷為老年性黃斑部變性共169位患者205眼,計非滲出性43例,50眼,佔24.4%,滲出性126例155眼,佔75.6%。雙側性病例36位佔21.3%,雙側性病例平均年齡大於單劇性病例之平均年齡,此種年齡差異在統計學上相當有意義。單側病變之另一眼79.6%可發現Drusen body。4例單側滲出性黃斑部變性患者於六個月以上(平均14.1個月)之追踪期間對側發生同樣滲出性病變佔9.3%。滲出性黃斑部變性以螢光血管攝影檢查可發現74.8%的患眼有視網膜下新生血管。黃斑部變性之患眼視力≤6/60者佔64.9%,足見其對視力影響之巨。

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並列摘要


Two hundred and five eyes of 169 patients had been diagnosed as senile macular degeneration in our retinal clinic from January 1977 to December 1981. 53 eyes of 43 patients were non-exudative type (24.4%) and the other 155 eyes of 126 patients were exudative type (75.6%). 36 patients (21.3%) were bilaterally involved and their average age was significantly greater than that of unilaterally involved patients. In our series of senile macular degeneration, 64.9% of patients had the vision of less than 6/60. Drusen bodies in the fellow eve were a frequent finding (79.6%) of unilateral senile macular degeneration. And during the period of follow up (averaged 14.1 months), 4 cases (9.3%) of unilateral exudative senile macular degeneration developed exudative macular lesion in the fellow eye. Subretinal neovascularization on the macular area could be detected in 74.8% of eyes with exudative macular degeneration by fluorescein angiographic study.

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