中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2011年
6期
460-462
,共3页
朱双倩%薛安全%俞阿勇%刘春雷%朱仙鸟
硃雙倩%薛安全%俞阿勇%劉春雷%硃仙鳥
주쌍천%설안전%유아용%류춘뢰%주선조
体层摄影术,光学相干%视网膜劈裂症%近视,退行性
體層攝影術,光學相榦%視網膜劈裂癥%近視,退行性
체층섭영술,광학상간%시망막벽렬증%근시,퇴행성
Tomography,optical coherence%Retinoschisis%Myopia,degenerative
目的 探讨高度近视视网膜劈裂症患者发生的年龄、眼轴、视力情况,以及其影像学特征和发生机制.方法 回顾性系列病例研究.对611例(992眼)高度近视患者行光学相干断层扫描(OCT)、B超、IOL Master、主觉验光、裂隙灯、眼底(散瞳)等检查,其中经OCT检查存在视网膜劈裂者79例(97眼).根据视网膜劈裂的位置分为黄斑中心凹劈裂组43例(51眼)与黄斑旁中心局部劈裂组36例(46眼)两组,对两组的年龄、眼轴、视力、后巩膜葡萄肿、玻璃体后脱离、黄斑前膜、玻璃体牵引的发生率进行比较.采用独立样本t检验和卡方检验进行统计学分析.结果 发生视网膜劈裂的患者中:总体年龄≥30岁者占73％；眼轴≥28 mm者占96％;视力≥4.5者占66％.视网膜劈裂大部分为外层劈裂,其中黄斑中心凹劈裂组中有5眼为混合劈裂.黄斑中心凹劈裂组与黄斑旁中心局部劈裂组劈裂发生的年龄差异有统计学意义(t=-2.28,P=0.025).黄斑前膜和玻璃体牵引的发生率在两组差异有统计学意义(x2=9.387,P=0.002;x2=6.590,P=0.01).结论 高度近视眼视网膜劈裂与长眼轴密切相关；年龄、黄斑前膜、玻璃体牵引与劈裂的类型相关.
目的 探討高度近視視網膜劈裂癥患者髮生的年齡、眼軸、視力情況,以及其影像學特徵和髮生機製.方法 迴顧性繫列病例研究.對611例(992眼)高度近視患者行光學相榦斷層掃描(OCT)、B超、IOL Master、主覺驗光、裂隙燈、眼底(散瞳)等檢查,其中經OCT檢查存在視網膜劈裂者79例(97眼).根據視網膜劈裂的位置分為黃斑中心凹劈裂組43例(51眼)與黃斑徬中心跼部劈裂組36例(46眼)兩組,對兩組的年齡、眼軸、視力、後鞏膜葡萄腫、玻璃體後脫離、黃斑前膜、玻璃體牽引的髮生率進行比較.採用獨立樣本t檢驗和卡方檢驗進行統計學分析.結果 髮生視網膜劈裂的患者中:總體年齡≥30歲者佔73％；眼軸≥28 mm者佔96％;視力≥4.5者佔66％.視網膜劈裂大部分為外層劈裂,其中黃斑中心凹劈裂組中有5眼為混閤劈裂.黃斑中心凹劈裂組與黃斑徬中心跼部劈裂組劈裂髮生的年齡差異有統計學意義(t=-2.28,P=0.025).黃斑前膜和玻璃體牽引的髮生率在兩組差異有統計學意義(x2=9.387,P=0.002;x2=6.590,P=0.01).結論 高度近視眼視網膜劈裂與長眼軸密切相關；年齡、黃斑前膜、玻璃體牽引與劈裂的類型相關.
목적 탐토고도근시시망막벽렬증환자발생적년령、안축、시력정황,이급기영상학특정화발생궤제.방법 회고성계렬병례연구.대611례(992안)고도근시환자행광학상간단층소묘(OCT)、B초、IOL Master、주각험광、렬극등、안저(산동)등검사,기중경OCT검사존재시망막벽렬자79례(97안).근거시망막벽렬적위치분위황반중심요벽렬조43례(51안)여황반방중심국부벽렬조36례(46안)량조,대량조적년령、안축、시력、후공막포도종、파리체후탈리、황반전막、파리체견인적발생솔진행비교.채용독립양본t검험화잡방검험진행통계학분석.결과 발생시망막벽렬적환자중:총체년령≥30세자점73％；안축≥28 mm자점96％;시력≥4.5자점66％.시망막벽렬대부분위외층벽렬,기중황반중심요벽렬조중유5안위혼합벽렬.황반중심요벽렬조여황반방중심국부벽렬조벽렬발생적년령차이유통계학의의(t=-2.28,P=0.025).황반전막화파리체견인적발생솔재량조차이유통계학의의(x2=9.387,P=0.002;x2=6.590,P=0.01).결론 고도근시안시망막벽렬여장안축밀절상관；년령、황반전막、파리체견인여벽렬적류형상관.
Objective To investigate the relationship between age,axial length,visual acuity and retinoschisis in myopes as well as its pathogenesis and imagingeology features.Methods This was a retrospective case-series study.Nine hundred ninety-two eyes of 611 high myopia patients were examined by optical coherence tomography (OCT), B-scan ultrasonography, IOL Master, subjective refraction, slit lamp examination and fundus examination after mydriasis.Retinoschisis was found in 97 eyes of 79 patients by OCT.Two groups were established based on the location according to retinoschisis location: a macular retinoschesis group with 43 cases (51 eyes) and a peripheral retinoschesis group with 36 cases (46 eyes); age,axial length and best corrected spectacle visual acuity, posterior staphyloma, vitreous detachment, the macular epiretinal membrane and vitreous traction were compared between the two groups.Data were analyzed using an independent samples t test and a chi-square test.Results Retinoschisis occurred as follows: 73％ of the the cases with retinoschisis were 30 years of age or older; 96％ of the cases had an axial length of at least 28 mm;66％ of the the cases had visual acuity equal to or better than 4.5.Retinoschisis was mainly localized in the outer layer of the neurosensory retina and 5 eyes in the macular retinoschesis group were localized in the outer and inner layers of the neurosensory retina.There was a statistical difference in ages between the two groups (t=-2.28,P=0.025) and there was a statistical difference in the percentage of macular membrane and vitreous traction that occurred (x2=9.387,P=0.002;x2=6.590,P=0.01).Conclusion Retinoschisis in high myopia is associated with long axial length.Age,macular epiretinal membrane and vitreous traction is associated with the type of retinoschisis.
