黄斑囊样水肿的病因及治疗进展

Recent advances in treatment and etiology of cystoid macular edema

黄斑囊样水肿是许多眼部病变的并发症,亦是导致严重视功能障碍的主要原因,可继发于糖尿病视网膜病变、视网膜静脉阻塞、眼部炎症、白内障、视网膜色素变性及其他眼内手术等。临床上主要依靠OCT及FFA联合诊断。目前有许多治疗黄斑囊样水肿的方法,包括口服药物、玻璃体内药物注射、激光、手术治疗等,各种治疗方法都有其优缺点。本文主要对黄斑囊样水肿的病因及治疗进展作一综述。

Cystoid macular edema is the final common pathway of a large number of intraocular pathologic conditions.It mainly impairs central vision and leads to visual impairment in the end.Usually,it is mainly seen in diabetic retinal disease,retinal vein occlusion,ocular inflammatory disease,cataract,intraocular surgery and retinal pigment degeneration.Cystoid macular edema can be clinical diagnosed by the combination of OCT and FFA.Now there are many treatment options including oral medication,intravitreal injection,laser coagulation and some surgical methods.Each method has its advantages and disadvantages.This article reviews the recent advances in treatment and etiology of cystoid macular edema.