摘要
黄斑裂孔主要发生在高度近视眼和相对"健康"的高龄眼,后者发生的黄斑裂孔称之为"特发性老年性黄斑裂孔"。近年来,频域相干光断层扫描(OCT)影像揭示了旁中心凹的后玻璃体脱离与黄斑裂孔形成的关系。有理由相信,玻璃体液化和不完全的后玻璃体脱离是黄斑裂孔的"原发性"病因。因此建议将这两类常见的黄斑裂孔分别称之为"近视性"和"老年性"黄斑裂孔。对相应群体的定期OCT检查,对防治此病可能是有益的。
Macular holes are one of main reasons for visual loss and primarily occur in eyes with high myopia and otherwise ＂healthy＂ eyes of aging people. In the latter situation, it has been recognized as ＂idiopathic senile macular hole＂. In recent years, spec- tral-domain optical coherence tomography （OCT） has revealed the relationship of development of macular hole with perifoveal posterior vitreous detachment （PVD）. It can be reasonably convinced that vitreous liquefaction and incomplete PVD on the maculae is the primary cause in pathogenesis of macular hole. It is therefore suggested that these two common types of macular holes can be defined as ＂my- opic＂ and ＂senile＂ macular holes, respectively. It should be recommended that routine examination with OCT applied on the corre- sponding eyes may benefit to prevent and treat macular hole. （Ophthalmol CHN, 2013, 22： 217-219）
出处
《眼科》
CAS
2013年第4期217-219,共3页
Ophthalmology in China
关键词
黄斑裂孔
玻璃体液化
后玻璃体脱离
相干光断层扫描
macular hole
vitreous liquefaction
posterior vitreous detachment
optical coherence tomography （OCT）
