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馬偕醫院壹萬例眼底螢光血管攝影與彩色眼底攝影之回顧
Review of 10000 Cases of Fundus Fluorescein Angiography and Color Fundus Photography Performed at Mackay Memory Hospital
摘要
收集馬偕醫院自民國72年8月到83年1月間之眼底攝影共一萬例。其中眼底螢光血管攝影有7173例（都同時有彩色眼底攝影的紀錄），另外只有作彩色眼底攝影的案例有2827例，運用電腦的幫助作分析。在疾病分布上，以血管性疾病為主，其中糖尿病網膜症有4150例，比率最高，網膜靜脈阻塞症有709例。20歲以下則視神經病變和先天性疾病較多。在流行病學上，發現中心性漿液性脈絡膜網膜症的發生，並沒有年齡上之限制，50歲以上病患比率可達9.3%；網膜靜脈阻塞以分支靜脈阻塞為主，佔63%；網膜動脈阻塞則以中心動脈阻塞為主，佔64%；從每年的檢查數量可以發現眼科醫師對眼底螢光血管攝影的依賴程度逐漸降低。以攝影方法對門診和住院病人作眼底檢查和紀錄，有助於更精確地分析病人眼底的變化，並供作討論研究，而回顧十年的案例，可以比較同一疾病在不同病人所呈現的變化，增進醫師對這些疾病的認知。
關鍵字
無資料並列摘要
It this study, 10000 cses of fundus fluorescein angiography and color fundus photography were reviewed between 1983 and 1994 at our department. Of these, 7173 cases were fundus fluorescein angiography and 2827 cases were color fundus photography only. Vascular disease was the most dominant, it composed 4150 cases of diabetic retinopathy and 709 cases of retinal venous occlusion. Optic neuropathy and congenital disorder were the most common among cases under 20 years old. In our epidemiologic study, there is no upper limit in age in the occurance of central serous chorioretinopathy, most of retinal venous occlusive diseases were branch retinal venous occlusive diseases (63%), and most of retinal arterial occlusive diseases were central retinal antevial occlusive disease (64%). From the annual number of fluorescein angiography completed in the past ten years, we found the physians' dependence on fluorescein angiography decreased gradually. The review and analysis of cases in the past ten years by computer give us more practical, useful and accurate data. By comparison we have also achieved a better understanding of the same diseases among different patients.