What will happen if the patients are not treated?

summary

We need to seize the time to treat the clinical manifestations of moderate osmolarity. It is not uncommon in clinic. It usually occurs in one eye. Most patients with symptoms of moderate osmolarity are 20-50 years old. Generally, there is no gender difference. The natural course of disease varies from several years to several years. So what will happen to the patients who get the disease if they are not treated?, Now let's take a concrete look.

What will happen if the patients are not treated?

First, the active period (progressive period) lasts from several months to two years, and the vision changes greatly. (1) in the early stage of typical cases, the macular area was isolated round or oval deep infiltration or exudation focus, with the size of 1 / 4-1 optic disc diameter (PD), yellowish white or yellowish gray, clear boundary and micro uplift. A small amount of yellow white punctate hard lipid exudation or pigmentation could be found around the area. The superficial retina of the lesion may also have small bleeding points. It's rebleeding. The vitreous body may appear dust like opacity due to cell infiltration. (2) fluorescein fundus angiography showed that in the early stage of the artery, there were spots of intense fluorescence leakage from choroidal subretinal neovascularization in the area equivalent to macular lesions, which were mesh like, wheel like, fan-shaped or granular, and expanded and enhanced with time; In the late phase of the angiography, a strong fluorescence was formed. The bleeding around the lesion can be partially covered by fluorescence.

Second: the recovery period (degenerative period) the visual acuity of patients in this period is relatively stable. (1) the macular hemorrhage was absorbed by ophthalmoscope, the discoid detachment was relieved or disappeared, the boundary was not clear, and the exudation focus was reduced. Choroidal neovascularization atrophy. (2) fluorescein angiography showed that fluorescein appeared in the depigmented area around the lesion, the leakage of fluorescein decreased, and it did not spread.

Third: in the scarring stage (quiescent stage), the patient's condition presented intermittent attack, and entered this stage after several years. At this time, the patient's vision had irreversible damage. (1) the macular exudates were absorbed by ophthalmoscope, forming irregular organized scar, choroidal atrophy zone and pigment accumulation. (2) fluorescein angiography showed that there was gradually enhanced fluorescence in the early lesion area, but no leakage or enlargement; Scar and pigment can partially block fluorescence. Fluorescence staining can be seen in the late stage. The essence and Qi of the five viscera and the great Fu organs are all infused into the eyes. By combining the theory of five rounds with the five viscera and five elements, and observing the changes of each round of the eye, we can infer the corresponding viscera pathological changes. Taking the birth and restraint of the five elements as the starting point, we can make the viscera harmonious and the eyes self-evident.

matters needing attention

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