不同类型黄斑裂孔患病的相关因素

Related factors of various types of macular hole diseases

目的:观察并分析不同类型黄斑裂孔的患病相关影响因素。方法:回顾性分析2012年1月至2018年12月在兰州大学第二医院住院治疗的1150例(1202只眼)全层黄斑裂孔患者的年龄、性别、民族、最佳矫正视力、黄斑裂孔类型以及是否继发孔源性视网膜脱离等临床资料。结果:黄斑裂孔患病人数随年龄增长呈趋势性分布,60~69岁年龄段患病人数最多;男女患病差异有统计学意义(P<0.05),眼别差异无统计学意义(P>0.05);特发性黄斑裂孔继发孔源性视网膜脱离的占比明显低于其他类型;特发性黄斑裂孔的入院最佳矫正视力较高,与高度近视黄斑裂孔相比,差异有统计学意义(P<0.05)。结论:黄斑裂孔多发于老年人,女性多见,高度近视黄斑裂孔容易继发孔源性视网膜脱离,可考虑尽早安排手术治疗;外伤性黄斑裂孔好发于中青年男性,常见于眼球钝挫伤,若未引发视网膜脱离等并发症,应适当观察而不急于手术。每1例黄斑裂孔都可能有其特殊性,需要认真分析病情综合判断,酌情选择观察或手术。

Objective:To observe and analyze the disease related factors of different types of macular hole.Methods:Clinical data including age,sex,ethnicity,best corrected visual acuity,macular hole type and whether accompanied by rhegmatogenous retinal detachment were retrospectively analyzed in 1150 patients(1202 eyes)hospitalized in our hospital from January 2012 to December 2018.Results:The number of patients with macular hole increased with age.There was statistically significant difference between male and female patients(P<0.05),and no statistically significant difference between eyes(P>0.05).The rate of rhegmatogenous retinal detachment caused by idiopathic macular hole was significantly lower than other types.The optimal corrected visual acuity of idiopathic macular hole was higher in admission,which was statistically different from that of high myopia macular hole and ametropia macular hole(P<0.05).Conclusion:Macular hole is more common in the elderly and more common in women.High myopia and ametropia macular hole are easily associated with rhegmatogenous retinal detachment,so surgical treatment should be arranged as soon as possible.Traumatic macular hole often occurs in young and middle-aged men and is often seen in blunt contusion of the eyeball.Each case of macular hole may have its particularity,which requires careful analysis of the condition,comprehensive analysis,and appropriate choice of observation or surgery.