目的：探讨中心性浆液性脉络膜视网膜病变（central serous chorioretinopathy，CSC）的眼底血管造影，包括眼底荧光血管造影检查（FFA）与吲哚青绿血管造影（ICGA）以及同步频域光学相关断层扫描（SDOCT）的图像特征，以探讨CSC的发病机制。 方法：对2009-06/2011-10在我院就诊的54例CSC患者使用海德堡公司生产的Spectralis HRA-OCT设备进行检查，选取患者的FFA，ICGA及同步SDOCT结果进行分析。 结果：CSC患者54例FFA表现为视网膜色素上皮（RPE）的荧光渗漏，ICGA表现为病灶处脉络膜血管异常，SDOCT表现神经上皮的浆液性脱离，其中38例（70.4%）患者的FFA和同步SDOCT比较发现，FFA表现为荧光渗漏点处对应的同步SDOCT为小片状的RPE脱离。 结论：通过FFA与ICGA以及SDOCT的同步检查，更准确的定位CSC患者病变部位，为CSC的发病机制提供临床资料，从而更好的指导临床治疗。

AIM:To discuss the fundus angiography of central serous chorioretinopathy (CSC), including fundus fluorescein angiography (FFA),indocyanine green angiography(ICGA),and synchronous spectral domain optical coherence tomography(SDOCT) in order to investigate the pathogenesis of CSC. METHODS: Fifty-four cases with CSC in our hospital during June 2009 to October 2011 were checked by using Spectralis HRA-OCT. PatientsFFA,ICGA and synchronous SDOCT were analyzed and explained. RESULTS:FFA of 54 cases with CSC appeared retinal pigment epithelial(RPE)fluorescein leakage,ICGA appeared choroidal vascular abnormal in lesions and SDOCT appeared neuroepithelial serous detachment. Comparing FFA with SDOCT of 38 cases（70.4%）, FFA appeared fluorescein leakage where ICGA was small pieces RPE detachment. CONCLUSION:CSC patients disorder location can be diagnosed accurately by checking FFA,ICGA and synchronous SDOCT, which provides clinical data for CSC pathogenesis in order to better guide clinical treatment.

广东省中医药局“2011年建设中医药强省”立项课题（No.20112037）