摘要
黄斑裂孔是指特发性、外伤性、高度近视等原因引起黄斑中心凹从内界膜到感光细胞全层组织破裂所致的视网膜裂孔.虽然其病因、病程、治疗、预后不尽相同,但在促进黄斑裂孔闭合和视网膜脱离复位方面所面临的困惑和挑战却具有高度一致性.手术成功的关键在于完全剥除黄斑区玻璃体皮层,而内界膜染色和剥除有利于黄斑区玻璃体皮层的清除.染色剂的选择和使用、内界膜的剥除方法、促进黄斑区视网膜脉络膜粘合的手段都是提高黄斑裂孔治疗预后值得进一步深入研究的问题.
Macular hole is a retinal hole locates in macular fovea, and can be idiopathic, traumatic and high myopic. Although its etiology, disease course, treatment and prognosis varied from case to case,enforcing macular-hole closure and retinal reattachment are challenges to all cases. Completely removal of premacular vitreous cortex is the key to successful repair, and inner limiting membrane （ILM） staining and peeling can greatly help the removal of those cortexes. Selections and usages of different dyes, methods of ILM peeling, and strategies to promote macular retina-choroidal adhesion warrant further study to improve treatment and prognosis of macular holes.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
2010年第6期501-504,共4页
Chinese Journal of Ocular Fundus Diseases
