伴后巩膜葡萄肿的高度近视眼黄斑区视网膜劈裂和脱离的临床研究  

Foveal retinoschisis and retinal detachment in high myopic eyes with posterior staphyloma

作　　者：蒋自培[1,2] 沈雯[3] 刘银和[1] 徐建国[1] 

机构地区：[1]温州医学院附属第一医院眼科,325000 [2]温州医学院附属眼视光学院 [3]温州医学院附属第一医院内分泌科,325000

出　　处：《新医学》2011年第4期246-248,F0003,共4页Journal of New Medicine

基　　金：浙江省大学生科技创新活动计划(浙教高教(2008)154号)

摘　　要：目的:运用光学相干断层扫描(OCT)研究伴后巩膜葡萄肿的高度近视患者黄斑区视网膜劈裂和(或)脱离的发生情况。方法:对301例(575眼)经B超确诊伴后巩膜葡萄肿的高度近视患者行完整的眼科检查和OCT检查。结果:伴后巩膜葡萄肿的高度近视的575眼中67眼(53例)发生黄斑区视网膜劈裂和(或)脱离,均有严重的眼底改变,仅5例患者主诉近来视力进展性损伤。结论:伴有后巩膜葡萄肿的高度近视患者的黄斑区视网膜劈裂和(或)脱离通过OCT检查容易检出,对于有严重眼底病变和伴有后巩膜葡萄肿的高度近视患者建议定期行OCT检查。Objective：To study the foveal retinoschisis and（or） retinal detachment in high myopic eyes with posterior staphyloma using optical coherence tomography（OCT）.Methods： In 575 high myopic eyes of 301 consecutive patients with posterior staphyloma confirmed by B Ultrasound,we performed complete ophthalmic examinations and studied cross-sectional images of the macula with OCT.Results： In sixty-seven（53 patients）of 575 high myopic eyes with posterior staphyloma,OCT revealed foveal retinoschisis and（or） retinal detachment.All sixty-seven eyes with foveal retinal detachment had severe fundus changes.Only 5 patients complained of recent,progressive visual impairment.Conclusion： In high myopic eyes with posterior staphyloma,foveal retinoschisis and（or） retinal detachment tend to be easily diagnosed by OCT.Periodic examination using OCT is recommended for high myopic eyes with severe myopic degenerative changes and posterior staphyloma.

关 键 词：黄斑区视网膜劈裂 视网膜脱离 高度近视 后巩膜葡萄肿 

分 类 号：R774.1[医药卫生—眼科]