特发性黄斑裂孔的临床研究进展  

Clinical reach progress of idiopathic macular hole

作　　者：孙会兰[1] 谢立科[1] 郝晓风[1] 张志芳[1] 侯乐[1] 祁怡馨 明静[1] 

机构地区：[1]中国中医科学院眼科医院,中国北京市100400

出　　处：《国际眼科杂志》2017年第2期259-262,共4页International Eye Science

摘　　要：特发性黄斑裂孔(idiopathic macular hole,IMH)主要是指无明确诱因引起的黄斑区域的视网膜神经上皮层局限性全层缺损,是比较重要的眼底黄斑病变之一。根据不同的原因及其病变的解剖部位则有不同的分类,其病因较多且病机复杂,但随着眼科检查仪器的不断更新及手术技术的不断提高,IMH的治疗手段也随之多样化并且治疗效果更加明显。不仅如此,对于IHM的预防性治疗在临床也逐渐得到运用。现本文将从IMH的发病机制、相关检查、治疗及预后评估等方面的进展作一综述。Idiopathic macular hole（IMH） is unequivocal inducement lead to limiting full-thickness defect of retinal neurepithelium layerin macular region.It＇s one of the most important fundus macular degeneration.According to the different causes and the anatomical site,the lesion has a different classification,and its etiology and pathogenesis are diverse and complex.But along with the continuous renewal of ophthalmologic examination instrument and the continuous improvement of surgical technique,treatment of IMH is diversified and treatment effect is more obvious.Not only that,IHM preventive treatment also gradually get used in clinical.In this paper,we reviewed the progress of IMH in terms of the pathogenesis,relative examination,surgical treatment,preoperative prognostic evaluation and so on.

关 键 词：特发性黄斑裂孔 光学相干断层成像 玻璃体切割 内界膜剥除 内界膜移植 

分 类 号：R774.5[医药卫生—眼科]