黄斑区微观结构对特发性黄斑前膜术后视力的预测价值  

Predictive value of macular microstructure in predicting postoperative visual acuity of patients with idiopathic epiretinal membrane

作　　者：赵小琴 李林芮 杨桢[1] 许立帅[1] 杨小丽[1] 

机构地区：[1]川北医学院附属医院眼科,四川南充637000

出　　处：《国际眼科纵览》2017年第6期376-380,共5页International Review of Ophthalmology

摘　　要：特发性黄斑前膜（idiopathicepiretinalmembrane，IERM）是较常见的年龄相关性疾病，玻璃体切除联合黄斑前膜剥除手术是目前最有效的治疗方法。相干光断层扫描（opticalcoherencetomgra—phy，OCT）是监测IERM术后恢复状况的有力工具。利用OCT研究黄斑区微观结构可对IERM术后最佳视力进行预测，其中主要评估指标是平均黄斑中心凹厚度、内层视网膜厚度、光感受器细胞内节／外节、光感受器外节末端以及光感受器外节长度等。Idiopathic epiretinal membrane （IERM） is a common age-related disease. Vitrectomy combined with epiretinal membrane peeling is the most effective surgical method for treatment of IERM. Op- tical coherence tomography （OCT） is a powerful tool widely used to monitor the recovery of IERM after oper- ation. At present, many clinical studies use OCT to investigate the predictive value of macular microstrue- ture. The results showed that the central foveal thickness （CFT）, inner retinal thickness, inner segment / outer segment junction （ IS / OS）, cone outer segment tips（COST） and the length of the photoreceptor outer segments （PROS） could predict visual acuity after idiopathic epiretinal membrane surgery.

关 键 词：特发性黄斑前膜 黄斑中心凹视网膜厚度 

分 类 号：R743.34[医药卫生—神经病学与精神病学]