摘要
近视牵引性黄斑病变(MTM)是高度近视最常见的黄斑病变,其进展缓慢,黄斑区视网膜劈裂、黄斑区视网膜脱离和黄斑裂孔是其主要表现。在各种牵引机制的综合作用下,MTM可能表现为解剖结构稳定、病情进展或自发好转。MTM自发好转可能性小且BCVA改善程度不一,而MTM的恶化风险随其程度发展而提高。临床上应注意患者的随访,适时手术治疗,以防病变进展至威胁患者视觉的严重阶段。
Myopic traction maculopathy(MTM)is one of the most common macular degeneration in highly myopic eyes,which is the main cause of visual impairment.MTM is a slowly progressing disease.Macular retinoschisis(MRS),macular detachment and macular hole are the three main manifestations of MTM.Under the combined action of various traction mechanisms,MTM may manifest as stable anatomical structure,progressing or spontaneous improvement.The possibility of spontaneous improvement of MTM is small and the degree of improvement of BCVA varies,while the risk of deterioration of MTM increases with its development.Attention should be paid to patient follow-up and timely surgical treatment to prevent MTM from further threatening the patients'vision in clinically.
作者
罗楠
刘炳乾
吕林
Luo Nan;Liu Bingqian;Lyu Lin(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen Unversity,Guangzhou 510060,China)
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
2020年第12期982-986,共5页
Chinese Journal of Ocular Fundus Diseases