Prevalence and characteristics of foveal retinal detachment without macular hole in high myopia
Prevalence and characteristics of foveal retinal detachment without macular hole in high myopia
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DOI：
10.1016/s0002-9394(02)01937-2
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发表时间：
2003-03-01
影响因子：
4.2
通讯作者：
Mochizuki, M
中科院分区：
文献类型：
--
作者：
Baba, T;Ohno-Matsui, K;Mochizuki, M
目的：利用光学相干断层扫描（OCT）报告大量高度近视眼中不伴黄斑裂孔的黄斑中心凹视网膜脱离的患病率，并阐明这些眼中与黄斑中心凹视网膜脱离相关的人口统计学特征。 0 设计：连续、前瞻性、观察性病例系列。方法：对 78 名连续高度近视（屈光不正为 -8 屈光度或以上）患者的 134 只眼睛进行了完整的眼科检查，并使用 OCT 研究了黄斑的横截面图像。根据是否存在后葡萄肿（第 1 组，n = 45 名患者的 78 只眼）或不存在（第 2 组，n = 33 名患者的 56 只眼），将患者分为两组。使用 Goldmann 三镜镜片进行狭缝灯检查表明没有一只眼睛有黄斑裂孔。 结果：78 只眼睛中有 7 只（9.0%）患有后葡萄肿（第 1 组），OCT 显示黄斑中心凹视网膜脱离。七只眼睛中有两只患有黄斑中心凹视网膜劈裂。光学相干断层扫描显示，任何没有后葡萄肿的眼睛（第 2 组）均未发现视网膜脱离或视网膜劈裂。黄斑中心凹视网膜脱离的七只眼的视力范围为20/40至20/200。七只眼睛中有两只的视力为 20/50 或更好。没有患者抱怨最近出现进行性视力障碍。 7例黄斑中心凹视网膜脱离均存在严重近视眼底改变（局灶性脉络膜视网膜萎缩或巩膜裸露）。结论：高度近视合并后葡萄肿眼中，不伴黄斑裂孔的黄斑中心凹视网膜脱离发生率为9.0%。对于患有这种类型视网膜脱离的眼睛，视力会发生变化，并且在常规检查中往往会漏掉中心凹视网膜脱离。对于患有严重近视退行性病变和后葡萄肿的高度近视眼，建议定期使用 OCT 检查。 (C) 2003 年，Elsevier Science Inc. 保留所有权利。
PURPOSE: To report the prevalence of foveal retinal detachment without macular hole in a large number of highly myopic eyes using optical coherence tomography (OCT), and to clarify the demographic characteristics associated with foveal retinal detachment in these eyes. 0DESIGN: A consecutive, prospective, observational case series.METHODS: In 134 eyes of 78 consecutive patients with high myopia (refractive error of -8 diopters or more), we performed complete ophthalmic examinations and studied cross-sectional images of the macula with OCT. The patients were divided into two groups according to the presence (group 1, n = 78 eyes of 45 patients) or absence (group 2, n = 56 eyes of 33 patients) of posterior staphyloma. Slit,lamp examination with a Goldmann three,mirror lens indicated that none of the eyes had a macular hole.RESULTS: In seven of 78 eyes (9.0%) with posterior staphyloma (group 1), OCT revealed foveal retinal detachment. Two of the seven eyes had foveal retinoschisis. Optical coherence tomography revealed no retinal de tachment or retinoschisis in any eye without posterior staphyloma (group 2). Visual acuity of the seven eyes with foveal retinal detachment ranged from 20/40 to 20/200. Two of the seven eyes had visual acuity 20/50 or better. No patients complained of recent, progressive visual impairment. All seven eyes with foveal retinal detachment had severe myopic fundus changes (focal chorioretinal atrophy or bare sclera).CONCLUSIONS: In highly myopic eyes with posterior staphyloma, the prevalence of foveal retinal detachment without macular hole was 9.0%. In eyes with this type of retinal detachment, visual acuity varies and foveal retinal detachment tends to be missed on routine examination. Periodic examination using OCT is recommended for highly myopic eyes with severe myopic degenerative changes and posterior staphyloma. (C) 2003 by Elsevier Science Inc. All rights reserved.