黄斑裂孔是导致老年人视力变形和中心视力下降的主要玻璃体视网膜病变之一。可带来严重的视力下降甚至丧失,早期发现黄斑裂孔与玻璃体切除手术后较高的闭合率以及术后较好的视力有关。近年来,黄斑裂孔的影像、药物和手术治疗的进展引起了人们的极大兴趣,根据光学相干断层扫描分析和眼底自发荧光成像结果,可以分为不同类型,选择不同的治疗方式。本文就不同类型黄斑裂孔的病因、诊断、光学相干断层扫描分析、治疗及预后的最新研究进展予以综述,帮助眼科医生为黄斑裂孔患者指定个性化治疗方案提供思路。
Macular holes are one of the major vitreous retinopathies that cause visual distortion and central vision loss in the elderly, and severe vision loss or even total vision loss can be caused by them. Ear-ly detection of macular fissures is associated with higher closure rates after vitrectomy and better vision after surgery. In recent years, the progress of imaging, drugs, and surgical treatment of mac-ular striations has aroused great interest, and according to the results of optical coherence tomog-raphy (OCT) and fundus autofluorescence imaging, it can be divided into different types and differ-ent treatment options. This paper reviews the latest research progress on the etiology, diagnosis, OCT imaging, treatment, and prognosis of different types of macular holes, and helps ophthalmolo-gists to provide ideas for specifying personalized treatment plans for patients with macular holes.
Etiology, Diagnosis, Prognosis, and Management of Different Types of Macular Fissures
Tianjiao Ding1,2, Jie Feng2*, Yingying Li2, Runtian He2
1Shandong First Medical University (Shangdong Academy of Medical Sciences), Jinan Shandong
2Jining First People’s Hospital, Jining Shandong
Received: Jul. 17th, 2022; accepted: Aug. 15th, 2022; published: Aug. 22nd, 2022
ABSTRACT
Macular holes are one of the major vitreous retinopathies that cause visual distortion and central vision loss in the elderly, and severe vision loss or even total vision loss can be caused by them. Early detection of macular fissures is associated with higher closure rates after vitrectomy and better vision after surgery. In recent years, the progress of imaging, drugs, and surgical treatment of macular striations has aroused great interest, and according to the results of optical coherence tomography (OCT) and fundus autofluorescence imaging, it can be divided into different types and different treatment options. This paper reviews the latest research progress on the etiology, diagnosis, OCT imaging, treatment, and prognosis of different types of macular holes, and helps ophthalmologists to provide ideas for specifying personalized treatment plans for patients with macular holes.
丁天娇,冯 洁,李颖颖,何润田. 不同类型黄斑裂孔的病因、诊断、预后及处理Etiology, Diagnosis, Prognosis, and Management of Different Types of Macular Fissures[J]. 临床医学进展, 2022, 12(08): 7727-7733. https://doi.org/10.12677/ACM.2022.1281114
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