臨床眼科78巻12号

2024年11月発行

特集 ザ・脈絡膜。

パキコロイドと脈絡膜（循環）

著者： 齋藤理幸¹

所属機関： ¹北海道大学大学院医学研究院眼科学教室

ページ範囲：P.1345 - P.1350

文献概要

●パキコロイドの病態と脈絡膜循環は密接にかかわっている。

●脈絡膜血流の1st hit〔うっ滞〕と2nd hit〔血流調節障害（過還流）〕によって漿液性網膜剝離が生じる。

参考文献

1）Hiroe T, Kishi S：Dilatation of asymmetric vortex vein in central serous chorioretinopathy. Ophthalmol Retina 2：152-161, 2018

2）Hirooka K, Saito M, Yamashita Y, et al：Imbalanced choroidal circulation in eyes with asymmetric dilated vortex vein. Jpn J Ophthalmol 66：14-18, 2022

3）Imanaga N, Terao N, Nakamine S, et al：Scleral thickness in central serous chorioretinopathy. Ophthalmol Retina 5：285-291, 2021

4）Sonoda S, Sakamoto T, Kuroiwa N, et al：Structural changes of inner and outer choroid in central serous chorioretinopathy determined by optical coherence tomography. PLoS One 11：e0157190, 2016

5）Jirarattanasopa P, Ooto S, Tsujikawa A, et al：Assessment of macular choroidal thickness by optical coherence tomography and angiographic changes in central serous chorioretinopathy. Ophthalmology 119：1666-1678, 2012

6）Tittl M, Maar N, Polska E, et al：Choroidal hemodynamic changes during isometric exercise in patients with inactive central serous chorioretinopathy. Invest Ophthalmol Vis Sci 46：4717-4721, 2005

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8）Teussink MM, Breukink MB, van Grinsven MJ, et al：OCT angiography compared to fluorescein and indocyanine green angiography in chronic central serous chorioretinopathy. Invest Ophthalmol Vis Sci 56：5229-5237, 2015

9）Saito M, Saito W, Hirooka K, et al：Pulse waveform changes in macular choroidal hemodynamics with regression of acute central serous chorioretinopathy. Invest Ophthalmol Vis Sci 56：6515-6522, 2015

10）Cardillo Piccolino F, Lupidi M, Cagini C, et al：Choroidal vascular reactivity in central serous chorioretinopathy. Invest Ophthalmol Vis Sci 59：3897-3905, 2018

11）Lupidi M, Fruttini D, Eandi CM, et al：Chronic neovascular central serous chorioretinopathy：a stress/rest optical coherence tomography angiography study. Am J Ophthalmol 211：63-75, 2020

12）吉岡久春：中心性漿液性脈絡網膜症（CSC）の原因．日眼会誌95：1181-1195，1991

13）Saito M, Saito W, Hashimoto Y, et al：Macular choroidal blood flow velocity decreases with regression of acute central serous chorioretinopathy. Br J Ophthalmol 97：775-780, 2013