中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
1期
29-31
,共3页
特发性黄斑裂孔%OCT
特髮性黃斑裂孔%OCT
특발성황반렬공%OCT
Idiopathic macular hole%OCT
目的 应用光学相干断层扫描(optical coherence tomography,OCT)对特发性黄斑裂孔患者对侧眼的后极部视网膜与玻璃体的扫描,观察其早期变化及演变过程分析.方法 对45例临床已确诊的特发性黄斑裂孔患者的对侧眼进行OCT扫描.结果 45例患者对侧45只眼中,23只眼有异常,OCT扫描后显示其中8只眼为1～2期单纯玻璃体后脱离(posterior vitreous detachment,PVD),3只眼为3期PVD,4只眼为1期黄斑裂孔,5只眼为2期黄斑裂孔,3只眼为3期黄斑裂孔,未发现4期黄斑裂孔,其余22只眼未见明显异常表现.随访一年半后发现1期黄斑裂孔的2只眼、2期黄斑裂孔的4只眼,1～2期PVD的2只眼进展为3～4期黄斑裂孔(共8只眼进展为3～4期黄斑裂孔),1期黄斑裂孔1只眼进展为2期黄斑裂孔,22只正常眼中有4例发现1～2期PVD,其余未见异常改变.结论 特发性黄斑裂孔有双眼发病的可能,对侧眼发生黄斑裂孔的可能性应引起重视,利用OCT可以对其黄斑区玻璃体视网膜关系进行观察、随访,并且评估其发生黄斑裂孔的可能性及危险性,可以适时采取干预措施.
目的 應用光學相榦斷層掃描(optical coherence tomography,OCT)對特髮性黃斑裂孔患者對側眼的後極部視網膜與玻璃體的掃描,觀察其早期變化及縯變過程分析.方法 對45例臨床已確診的特髮性黃斑裂孔患者的對側眼進行OCT掃描.結果 45例患者對側45隻眼中,23隻眼有異常,OCT掃描後顯示其中8隻眼為1～2期單純玻璃體後脫離(posterior vitreous detachment,PVD),3隻眼為3期PVD,4隻眼為1期黃斑裂孔,5隻眼為2期黃斑裂孔,3隻眼為3期黃斑裂孔,未髮現4期黃斑裂孔,其餘22隻眼未見明顯異常錶現.隨訪一年半後髮現1期黃斑裂孔的2隻眼、2期黃斑裂孔的4隻眼,1～2期PVD的2隻眼進展為3～4期黃斑裂孔(共8隻眼進展為3～4期黃斑裂孔),1期黃斑裂孔1隻眼進展為2期黃斑裂孔,22隻正常眼中有4例髮現1～2期PVD,其餘未見異常改變.結論 特髮性黃斑裂孔有雙眼髮病的可能,對側眼髮生黃斑裂孔的可能性應引起重視,利用OCT可以對其黃斑區玻璃體視網膜關繫進行觀察、隨訪,併且評估其髮生黃斑裂孔的可能性及危險性,可以適時採取榦預措施.
목적 응용광학상간단층소묘(optical coherence tomography,OCT)대특발성황반렬공환자대측안적후겁부시망막여파리체적소묘,관찰기조기변화급연변과정분석.방법 대45례림상이학진적특발성황반렬공환자적대측안진행OCT소묘.결과 45례환자대측45지안중,23지안유이상,OCT소묘후현시기중8지안위1～2기단순파리체후탈리(posterior vitreous detachment,PVD),3지안위3기PVD,4지안위1기황반렬공,5지안위2기황반렬공,3지안위3기황반렬공,미발현4기황반렬공,기여22지안미견명현이상표현.수방일년반후발현1기황반렬공적2지안、2기황반렬공적4지안,1～2기PVD적2지안진전위3～4기황반렬공(공8지안진전위3～4기황반렬공),1기황반렬공1지안진전위2기황반렬공,22지정상안중유4례발현1～2기PVD,기여미견이상개변.결론 특발성황반렬공유쌍안발병적가능,대측안발생황반렬공적가능성응인기중시,이용OCT가이대기황반구파리체시망막관계진행관찰、수방,병차평고기발생황반렬공적가능성급위험성,가이괄시채취간예조시.
Objective Using OCT (optical coherence tomography, OCT) to scan the posterior retina and vitreous, investigate the initial changes and developing process. Methods The fellow eyes of 45 patients with unilateral full-thickness macular holes were examined by OCT. Results In the 45 eyes, 23 eyes were abnormity observed by OCT. OCT images showed that among the 23 initially diseased eyes the number of posterior vitreous detachment of 1-2 and 3stages was respectively 8 and 3 eyes, macular hole of 1, 2, 3 stages was respectively 4, 5, and 3 eyes, there was not stage 4 macular hole. After one year and a half fellow-up, among the 23 abnormity eyes, 8 eyes developed a full-thickness macular hole, and 4 eyes of the other 22 normal eyes developed a posterior vitreous detachment. Conclusions It is possible that idiopathic macular hole development in fellow eyes of patients with unilateral macular hole should attract our attention. Posterior vitreoretinal relationship can be observed and follow-up by OCT, and to assess the likelihood of occurrence of macular holes and risk, guide our interventions.
