重视病理性近视眼的眼底并发症 提升病理性近视眼综合防治水平  

Paying attention to the fundus complications and improving the prevention and treatment of pathological myopia

作　　者：魏文斌 董力 Wei Wenbin;Dong Li(Beijing Tongren Eye Center,Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment,Beijing Ophthalmology&Visual Sciences Key Laboratory,Medical Artificial Intelligence Research and Verification Key Laboratory of the Ministry of Industry and Information Technology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心,眼内肿瘤诊治研究北京市重点实验室,北京市眼科学与视觉科学重点实验室,医学人工智能研究与验证工信部重点实验室,北京100730

出　　处：《中华眼科杂志》2021年第6期401-405,共5页Chinese Journal of Ophthalmology

基　　金：首都卫生发展科研专项(首发2020-1-2052);北京市科委科技计划项目(Z201100005520045,Z181100001818003);北京市医院管理局“登峰”人才培养计划(DFL20150201)。

摘　　要：病理性近视眼已成为全球范围内重要的致盲性眼病,近年来有逐渐年轻化的趋势,造成了沉重的社会负担。人们对病理性近视眼认识普遍不足,常将病理性近视眼和高度近视眼相混淆,未充分认识到病理性近视眼不只是一类屈光不正性疾病,更是一类可致盲的眼底疾病。病理性近视眼眼底并发症是导致视力损伤的主要原因,主要包括后巩膜葡萄肿、黄斑退行性病变以及继发性脉络膜新生血管等,均与眼轴长度密切相关,可终身进展,且治疗手段有限。当下近视眼防控已上升至国家战略高度,病理性近视眼是近视眼防控中的重点和难点,全社会都应重视病理性近视眼眼底并发症的预防和治疗,采取针对性的综合防治措施,加大科研投入和成果转化,共同呵护国民眼健康。Pathological myopia,an important blinding eye disease worldwide,has caused a heavy social burden.The patients have become younger in recent years.In general,people have limited knowledge of pathological myopia.They often confuse pathological myopia with high myopia,and do not fully realize that pathological myopia is not only an ametropia disease,but also a fundus disease.Fundus complications of pathological myopia are the main causes of visual impairment,including posterior staphyloma,macular degeneration,and secondary choroidal neovascularization.All of them are related to axial length and can progress throughout the life,while the treatment is limited.At present,myopia prevention has become a national strategy,and pathological myopia is the key and difficult point in myopia prevention.The whole society should pay attention to the prevention and treatment for fundus complications of pathological myopia,take comprehensive measures,and increase scientific researches to protect the eye health of the people.

关 键 词：近视 退行性 巩膜疾病 黄斑变性 脉络膜新生血管化 早期医疗干预 

分 类 号：R778.11[医药卫生—眼科]