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青光眼發作致視網膜脫離復位

系統性紅斑狼瘡的眼底改變

目的 觀察系統性紅斑狼瘡(systemic lupus erythematosus,SLE)患者的眼底改變。 方法 回顧分析13例SLE患者的彩色眼底照相及眼底熒光血管造影(fundus fluorescein angiography,FFA)臨床資料。 結果 8例16只眼有眼底改變,占61.5%,其中有靜脈紆曲擴張7例，視神經萎縮1例。靜脈紆曲擴張者中另外單獨或同時伴視盤輕度充血水腫5例、棉絨斑4例。 結論 SLE早期眼底表現為靜脈紆曲擴張，FFA顯示小動脈閉塞，典型的眼底改變是棉絨斑。 (中華眼底病雜志,1998,14:174-175)

The relationship between the level of testosterone and estradiol in serum and central serous chorioretinopathy

Objective　To investigate the relationship between the level of testosterone and estradiol in serum and central serous chorioretinopathy (CSC).Methods 　The clinical data of 200 patients with active phase CSC who diagnosed by clinical manifestation, examination of fundus and fluorescence fundus angiography (FFA), were retrospectively analyzed. Two hundreds healthy people were collected as a control group. The blood of ulnar vein was collected and the method of magnetic homogeneous enzyme immunoassay was used to detect the level of testosterone and estradiol in serum of two groups. The results were analyzed statistically by t test.Results 　The values of testosterone and estradiol of male were all higher in CSC group than that in control group，the differences were statistical significance（t=2.804，2.913；P=0.010，0.008）；it was also higher in female（t=2.078，2.807；P=0.049，0.010）. The value of testosterone/estradiol of male was higher than that of female in CSC group，the difference was statistical significance(t=2.231，P=0.046).Conclusions 　The level of testosterone and estradiol in serum of CSC group increased obviously, especially the value of testosterone/estradiol. The increase of estradiol and testosterone/estradiol may be an etiological factor of CSC.