CAJ | 학술논문

目的:描述病理性高度近视眼视盘周围局限性视网膜脱离,分析这一新认识的眼底病变发生的原因.方法:2002-12/2004-01间,7例10眼被确认存在视盘周围局限性视网膜脱离,本文评价了其0CT、FA/ICGA和mfERG的临床特征.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相对严重的近视性视网膜脉络膜萎缩、CNV、黄斑前膜形成和弱视.5只患眼表现为1型后巩膜葡萄肿,其视盘周围视网膜脱离均位于视盘的鼻侧半,而另5只患眼表现为3型或2型葡萄肿,其视盘周围视网膜脱离均位于视盘的非鼻侧半,统计学上存在差异(P=0.01).所有患眼的视盘周围视网膜脱离区域均为后巩膜葡萄肿累及.结论:病理性近视眼的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.
목적:묘술병이성고도근시안시반주위국한성시망막탈리,분석저일신인식적안저병변발생적원인.방법:2002-12/2004-01간,7례10안피학인존재시반주위국한성시망막탈리,본문평개료기0CT、FA/ICGA화mfERG적림상특정.결과:시반주위시망막탈리불시임하환자취진검사적원인,시력감퇴혹교정시력저적원인시상대엄중적근시성시망막맥락막위축、CNV、황반전막형성화약시.5지환안표현위1형후공막포도종,기시반주위시망막탈리균위우시반적비측반,이령5지환안표현위3형혹2형포도종,기시반주위시망막탈리균위우시반적비비측반,통계학상존재차이(P=0.01).소유환안적시반주위시망막탈리구역균위후공막포도종루급.결론:병이성근시안적시반주위시망막탈리흔가능시후공막포도종적일개량성병발증.
AIM: To report the clinical manifestations of localized peripapillary detachment in pathologic myopia and to evaluate its underlying associations and causes.METHODS: From December 2002 to January 2004, 10eyes 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: Localised peripapillary detachments did not cause any symptoms by themselves and all the lesions were recognized because of other ocular problems. The areas of peripapillary detachment were all located within the posterior staphyloma. In the 5 eyes with type 1 staphyloma, the locations of detachment were all in the nasal half of the peripapillary area. In the other 5 eyes with type 2 and 3 staphyloma, the locations of detachment were all in the non-nasal peripapillary area. The difference between these two groups was statistically significant (Fisher's exact test, ,P= 0.01).CONCLUSION: Peripapillary detachment is probably a benign complication of posterior staphyloma in pathologic myopia. The site of peripapillary detachment is affected by the location of staphyloma and OCT is important in making the diagnosis.