高度近视眼继发视盘周围视网膜脱离  

Localized peripapillary detachment in highly myopic eyes

作　　者：姜荔[1] 姚毅[1] 赵军平[1] 马志中[2] 

机构地区：[1]解放军总医院 [2]北京大学第三医院眼科中心

出　　处：《解放军医学杂志》2004年第6期501-503,共3页Medical Journal of Chinese People's Liberation Army

摘　　要：目的　描述高度近视眼视盘周围局限性视网膜脱离 ,分析该眼底病变发生的原因。方法　OCT检查确诊视盘周围局限性视网膜脱离 7例 1 0只眼 ,对其FA/ICGA和mfERG的特征进行分析。结果　视盘周围视网膜脱离不是任何患者就诊检查的原因 ,视力减退或矫正视力低的原因是视网膜脉络膜萎缩、CNV、黄斑前膜形成和弱视。所有患者的视网膜脱离均局限于后巩膜葡萄肿区域 ,脱离视网膜的长度比相应处附着于巩膜的RPE和内层脉络膜短。结论　视盘周围视网膜脱离很可能是后巩膜葡萄肿的一个良性并发症。Objective To describe localized peripapillary detachment in highly myopic eyes, and to analyze the possible cause of this newly recognized fundus lesion. Methods From December 2002 to January 2004, 10 eyes from 7 patients with high myopia were identified to have localized peripapillary detachment by optical coherent tomography (OCT). The features were described together with the fundus fluorescein angiography, indocyanine green angiography and multifocal electroretinogram. Results Peripapillary detachment was not the reason for any patient to be referred for examinations. The reasons of vision decrease or lower BCVA were relatively severe myopic chorioretinal changes, CNV, pre macular membrane formation, and amblyopia. The areas of peripapillary detachment were all located within the posterior staphyloma. The length of the detached retina was undoubtedly shorter than that of the corresponding RPE and inner layer of choroids, which attached to sclera, on OCT. Conclusion Peripapillary detachment is probably a benign complication of staphyloma

关 键 词：近视 光学相干断层成像术 视盘周围视网膜脱离 后巩膜葡萄肿 

分 类 号：R778.11[医药卫生—眼科] R77043[医药卫生—临床医学]