中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2011年
3期
259-262
,共4页
近视,退行性/并发症%中央凹%视网膜劈裂症%体层摄影术,光学相干%视野检查法
近視,退行性/併髮癥%中央凹%視網膜劈裂癥%體層攝影術,光學相榦%視野檢查法
근시,퇴행성/병발증%중앙요%시망막벽렬증%체층섭영술,광학상간%시야검사법
Myopia,degenerative/complications%Fovea centralis%Retinoschisis%Tomography,optical coherence%Perimetry
目的 观察病理性近视继发中心凹视网膜劈裂的固视特点.方法 屈光度≥-6.00 D、光相干断层扫描(OCT)检查证实有黄斑中心凹视网膜劈裂的患者36例42只眼纳入本研究.其中,合并中心凹处视网膜脱离者11只眼,合并黄斑裂孔者12只眼,无视网膜脱离及黄斑裂孔者19只眼;并以此分为3组.采用MP-1微视野计对3组患者行固视检查,记录受检眼固视点位置和2°视野范围内固视稳定性.结果 合并中心凹处视网膜脱离组及合并黄斑裂孔组患者偏心固视形成在中心凹上方;无视网膜脱离及黄斑裂孔组患者自然形成固视位置位于中心凹处视网膜.合并中心凹处视网膜脱离组、合并黄斑裂孔组、无视网膜脱离及黄斑裂孔组2°视野范围内固视稳定性分别为(23±4)%、(59±6)%、(91±11)%,组间比较差异有统计学意义(F=243.47,P＜0.01).结论 病理性近视继发中心凹视网膜劈裂无视网膜脱离及黄斑裂孔患者固视位置位于中心凹处,未形成偏心同视且同视稳定;合并中心凹处视网膜脱离及黄斑裂孔患者固视位置均位于上方视网膜,形成偏心同视.
目的 觀察病理性近視繼髮中心凹視網膜劈裂的固視特點.方法 屈光度≥-6.00 D、光相榦斷層掃描(OCT)檢查證實有黃斑中心凹視網膜劈裂的患者36例42隻眼納入本研究.其中,閤併中心凹處視網膜脫離者11隻眼,閤併黃斑裂孔者12隻眼,無視網膜脫離及黃斑裂孔者19隻眼;併以此分為3組.採用MP-1微視野計對3組患者行固視檢查,記錄受檢眼固視點位置和2°視野範圍內固視穩定性.結果 閤併中心凹處視網膜脫離組及閤併黃斑裂孔組患者偏心固視形成在中心凹上方;無視網膜脫離及黃斑裂孔組患者自然形成固視位置位于中心凹處視網膜.閤併中心凹處視網膜脫離組、閤併黃斑裂孔組、無視網膜脫離及黃斑裂孔組2°視野範圍內固視穩定性分彆為(23±4)%、(59±6)%、(91±11)%,組間比較差異有統計學意義(F=243.47,P＜0.01).結論 病理性近視繼髮中心凹視網膜劈裂無視網膜脫離及黃斑裂孔患者固視位置位于中心凹處,未形成偏心同視且同視穩定;閤併中心凹處視網膜脫離及黃斑裂孔患者固視位置均位于上方視網膜,形成偏心同視.
목적 관찰병이성근시계발중심요시망막벽렬적고시특점.방법 굴광도≥-6.00 D、광상간단층소묘(OCT)검사증실유황반중심요시망막벽렬적환자36례42지안납입본연구.기중,합병중심요처시망막탈리자11지안,합병황반렬공자12지안,무시망막탈리급황반렬공자19지안;병이차분위3조.채용MP-1미시야계대3조환자행고시검사,기록수검안고시점위치화2°시야범위내고시은정성.결과 합병중심요처시망막탈리조급합병황반렬공조환자편심고시형성재중심요상방;무시망막탈리급황반렬공조환자자연형성고시위치위우중심요처시망막.합병중심요처시망막탈리조、합병황반렬공조、무시망막탈리급황반렬공조2°시야범위내고시은정성분별위(23±4)%、(59±6)%、(91±11)%,조간비교차이유통계학의의(F=243.47,P＜0.01).결론 병이성근시계발중심요시망막벽렬무시망막탈리급황반렬공환자고시위치위우중심요처,미형성편심동시차동시은정;합병중심요처시망막탈리급황반렬공환자고시위치균위우상방시망막,형성편심동시.
Objective To observe the fixation features of foveoschisis in pathological myopia patients.Methods 36 patients(42 eyes)with>-6.00D myopic degree and foveoschisis who diagnosed by optical coherence tomography were included.The patients were divided into foveoschisis with retinal detachment group(11 eyes),foveoschisis with macular hole group(12 eyes)and only foveoschisis group(19 eyes).Micro-perimeter MP-1 was used to identify the fixation location and fixation stability.Results The eccentric fixation were formed above the foyea in the foveoschisis with retinal detachment and foveoschisis with macular hole group,the fixation location was formed on fovea in the only foveoschisis group.The fixation stability of the foveoschisis with retinal detachment,foveoschisis with macular hole and only foveoschisis group were(23±4)0A,(59±6)% ,(91±11)% respectively,the difference was statistically significant(F=243.47,P＜0.01).Conclusions The fixation location is formed on foyea in the patients with foveoschisis in pathological myopia.The eccentric fixation is formed above the fovea in the patients who has foveoschisis with retinal detachment and macular hole in pathological myopia.
