儿童玻璃体视网膜疾病诊治新进展  

Management and research progress of pediatric vitreoretinopathy

作　　者：毛克荣 彭婕 赵培泉 Mao Kerong;Peng Jie;Zhao Peiquan(Department of Ophthalmology,Xinhua Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200000,China)

机构地区：[1]上海交通大学附属新华医院眼科,200000

出　　处：《临床眼科杂志》2024年第4期365-368,共4页Journal of Clinical Ophthalmology

摘　　要：儿童玻璃体视网膜病变是儿童视力发育不良和儿童盲的主要原因。相较于成人眼底病及其他儿童眼病,儿童玻璃体视网膜病变早期较难发现,其诊断和治疗较困难,且容易导致患儿视功能永久不可逆性的损害。本文总结了近年来在儿童玻璃体视网膜手术方面取得的多项新技术和新成果,包括两步法眼底血管荧光素造影、分期手术、黏弹剂分离晶状体后纤维增生膜、Coats病两切口激光和24G静脉留置针巩膜外引流、微创外路手术、无灌注晶状体切割辅助晶状体切除术、虹膜穿刺引流术、视网膜下注射抗血管内皮生长因子(VEGF)药物术、虹膜扩张器使用、小儿黄斑裂孔治疗、前部型永存胎儿血管症(AAPFV)命名等。Pediatric vitreoretinopathy is the main cause of visual dysplasia and blindness in children.Compared with adult fundus diseases and other pediatric eye diseases,pediatric vitreoretinopathy is more difficult to find,diagnose and treat in the early stage,and it is easy to lead to permanent irreversible damage to vision in children.This article summarizes a number of new technologies and achievements made in recent years in vitreoretinal surgery in pediatrics,for example:two-step widefield fundus fluorescein angiography、staged surgery、viscodelamination of fiber proliferation membrane after the lens、coats'disease endolaser photocoagulation via a two-port pars plana nonvitrectomy approach and subretinal fluid using a 24G i.v.catheter、minimally segmental scleral buckling surgery、iris puncture technique、drylensectomyassisted lensectomy、subretinal injection of vascular endothelial growth factor(VEGF)、use of iris speculum、management of pediatric macular hole、named of anterior-anterior type of persistent fetal vasculature(AAPFV).This article reviews the new technologies and new achievements.

关 键 词：儿童玻璃体视网膜病变 玻璃体视网膜手术 荧光素钠血管造影 

分 类 号：R774.1[医药卫生—眼科]