高度近视黄斑劈裂的研究进展

The latest research on myopic foveoschisis

黄斑劈裂是高度近视常见的黄斑病变之一。玻璃体后皮质和内界膜的切线和前后方向牵引、视网膜血管牵拉、巩膜扩张被认为是重要发病因素。目前的治疗手段主要是玻璃体手术或联合内界膜剥除术、黄斑扣带术。治疗时机及治疗手段虽有共识但存在争议。

Myopic foveoschisis （MF） is one of the common complicaitons of high myopia. The tangential and perpendicular traction of posterior vitreous cortex and internal limiting membrane on the retina, traction from retinal blood vessels, scleral eetasis are thought to be important risk factors. Pars plana vitrectomy or combined with internal limiting membrane peeling and scleral buckling is usually used to treat the disease. Although there are common consensus on the indications and approaches of the operation, the opinions about operation timing and methods are still controversial.