摘要
高度近视黄斑劈裂病程进展缓慢,患者通常没有临床症状,部分患者后期进展为中心凹脱离、黄斑裂孔和视网膜脱离,对其视力造成严重损伤。光学相干断层扫描是诊断和检测患者病情进展的主要手段,对于出现黄斑区异常结构的高度近视患者尽早检测、及时给予手术干预有利于患者术后视力改善及解剖结构的恢复。玻璃体切除联合或者不联合内界膜剥除术是当前治疗黄斑劈裂最广泛应用的手术方式,但对于术中是否应联合内界膜剥除一直存在争议。近几年来,临床治疗该病的新方法也逐渐增多。为此,本文主要就黄斑劈裂的发生机制、治疗方法及当前存在的争议进行总结,以期为临床治疗该病提供帮助。
The course of macular split in high myopia is slow and the patients usually have no clinical symptoms.Some patients progress to foveal detachment,macular hole and retinal detachment in later stages,causing serious damage to their vision.Optical coherence tomography is the main method for diagnosing and detecting the progress of the patient's condition.Early detection and timely surgical intervention for patients with high myopia with abnormal structures in the macular area are beneficial to the improvement of postoperative vision and the recovery of anatomical structures.Vitrectomy with or without internal limiting membrane stripping is currently the most widely used surgical method for the treatment of macular split,but there has been controversy as to whether it should be combined with internal limiting membrane stripping during the operation.In recent years,new methods for clinical treatment of the disease have gradually increased.To this end,this article mainly summarizes the mechanism,treatment methods and current controversies of macular split in order to provide help for the clinical treatment of the disease.
作者
杨娟娟
高荣玉
张杰
徐鑫彦
刘建东
孙先勇
YANG Juan-juan;GAO Rong-yu;ZHANG Jie;XU Xin-yan;LIU Jian-dong;SUN Xian-yong(Weifang Medical University,Weifang 261053,Shandong,China)
出处
《医学信息》
2021年第16期40-43,共4页
Journal of Medical Information
关键词
高度近视
黄斑劈裂
玻璃体切除术
后巩膜加固术
High myopia
Myopic foueoschisis
Vitrectomy
Posterior scleral reinforcement
