提高对儿童玻璃体视网膜界面的认识  

Improving the recognition of vitreoretinal interface in children

作　　者：黄厚斌[1,2,3] Huang Houbin(Department of Ophthalmology,Hainan Hospital of PLA General Hospital,Sanya 572013,China;Senior Department of Ophthalmology,PLA General Hospital,Beijing 100853,China;The Second School of Clinical Medicine,Southern Medical University,Guangzhou 510280,China)

机构地区：[1]解放军总医院海南医院眼科,三亚572013 [2]解放军总医院眼科医学部,北京100853 [3]南方医科大学第二临床医学院,广州510280

出　　处：《中华眼底病杂志》2023年第1期1-4,共4页Chinese Journal of Ocular Fundus Diseases

基　　金：海南省重点研发计划高新技术项目(ZDYF2020031);军委后勤保障部保健专项科研课题面上项目(19BJZ39)。

摘　　要：玻璃体视网膜界面包括玻璃体后皮质、视网膜内界膜,以及两者之间的细胞外基质,它们之间形成类似基膜复合体的结构。儿童的玻璃体视网膜界面与成人有显著不同,主要表现在儿童玻璃体视网膜粘连异常紧密、基底部后缘紧邻锯齿缘、内界膜菲薄等。随着年龄增长,玻璃体基底部向后移位,玻璃体视网膜粘连减弱,视网膜内界膜增厚、弹性下降,并出现玻璃体后脱离等改变。深刻认识儿童玻璃体视网膜界面的结构和生理特点对于真正理解儿童玻璃体视网膜疾病的临床表现和治疗非常重要。Vitreoretinal interface is consisted of posterior vitreous cortex,retina internal limiting membrane,and extracellular matrix between them.Basement membrane-like complex is formed in the interface.The interface in children is of much difference with that in adult.The adhesion of it is much tight in children.The posterior edge of vitreous base is closed to ora serrata.The retina internal limiting membrane is thin.But with age,the posterior margin of vitreous base extends posteriorly,internal limiting membrane thickens and its elasticity decreases,the adhesion in vitreoretinal interface weakens,and posterior vitreous detachment develops.To recognize fully the interface in children is of much importance for understanding the pathophysiology and treatment strategy of pediatric vitreoretinal diseases.

关 键 词：玻璃体后皮质 视网膜内界膜 玻璃体视网膜界面 儿童 述评 

分 类 号：R774.1[医药卫生—眼科]