CAJ | 학술논문

病理性近视常并发一系列眼底病变，黄斑劈裂是常见的并发症之一。黄斑劈裂病程中合并视网膜脱离、黄斑裂孔、视网膜前膜、玻璃体视网膜牵拉时可导致视功能严重受损。目前多认为其发病机制为多种牵引因素和视网膜自身因素影响导致的黄斑结构和功能紊乱，进而影响视功能。关于黄斑劈裂的治疗在手术方面仍有争议。本综述着重就病理性近视黄斑劈裂的临床特点、辅助诊断、治疗策略及预后做一总结和讨论。
병이성근시상병발일계렬안저병변，황반벽렬시상견적병발증지일。황반벽렬병정중합병시망막탈리、황반렬공、시망막전막、파리체시망막견랍시가도치시공능엄중수손。목전다인위기발병궤제위다충견인인소화시망막자신인소영향도치적황반결구화공능문란，진이영향시공능。관우황반벽렬적치료재수술방면잉유쟁의。본종술착중취병이성근시황반벽렬적림상특점、보조진단、치료책략급예후주일총결화토론。
?Pathological myopia are often complicated by a series of pathological changes in fundus including foveoschisis, which can lead to visual dysfunction when processing with retinal detachment, macular hole, epiretinal membrane and vitreoretinal traction diseases. According to the current knowledge, the main mechanism of foveoschisisi might be attributed to the impaired macular structure and function caused by a variety of traction on the retinal and retina poor condition. Surgical treatments have been reported to be effective in treating foveoschisis, however, the indications and surgical procedures are still controversial. ln this article, we reviewed the clinical features, diagnosis, treatment strategies and prognosis of pathological myopia foveoschisis.