CAJ | 학술논문

高度近视黄斑劈裂、黄斑裂孔等黄斑区玻璃体视网膜界面异常严重影响高度近视患者的视功能,其自然病程各异,手术治疗的关键是如何去除玻璃体后皮质对黄斑区视网膜的牵引,恢复黄斑中心凹原有的解剖结构,保持和(或)提高中心视功能.但玻璃体腔注气、后巩膜兜带和(或)加固、玻璃体切割手术等具体干预方式的选择和应用仍存在许多争议并值得探讨.如何正确理解和评价现有这些风格迥异的手术方式及其疗效,根据疾病的不同特点制定治疗方案是目前急需解决的现实问题.
고도근시황반벽렬、황반렬공등황반구파리체시망막계면이상엄중영향고도근시환자적시공능,기자연병정각이,수술치료적관건시여하거제파리체후피질대황반구시망막적견인,회복황반중심요원유적해부결구,보지화(혹)제고중심시공능.단파리체강주기、후공막두대화(혹)가고、파리체절할수술등구체간예방식적선택화응용잉존재허다쟁의병치득탐토.여하정학리해화평개현유저사풍격형이적수술방식급기료효,근거질병적불동특점제정치료방안시목전급수해결적현실문제.
Macular vitreoretinal interface abnormalities in highly myopic eyes are among the most vision-threatening diseases associated with macular retinal schisis and macular holes.To relieve the traction of the posterior vitreous cortex and to recover the anatomy of fovea for good central vision are the keys to successful repair.However,there are many controversial issues in the efficacy of the surgerical procedures including gas injection,scleral buckling and vitrectomy.How to evaluate these different surgeries and to establish standard surgical procedure options for macular vitreoretinal interface abnormalities in highly myopic eyes needs to be explored.