Natural course of macular retinoschisis in highly myopic eyes without macular hole or retinal detachment
Natural course of macular retinoschisis in highly myopic eyes without macular hole or retinal detachment
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DOI：
10.1016/j.ajo.2006.03.048
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发表时间：
2006-09-01
影响因子：
4.2
通讯作者：
Mochizuki, Manabu
中科院分区：
文献类型：
--
作者：
Shimada, Noriaki;Ohno-Matsui, Kyoko;Mochizuki, Manabu
目的：探讨高度近视患者黄斑视网膜裂的自然病程。设计：前瞻性观察性病例系列。方法：连续7例（8只眼）黄斑视网膜裂患者，经光学相干断层扫描（OCT）检测，无黄斑裂孔或视网膜脱离，随访至少2年，无手术干预。分析OCT表现及最佳矫正视力（BCVA）的变化。结果：随访期间，2只有玻璃体视网膜粘连的眼睛出现黄斑孔，1只有和1只没有视网膜脱离（RD）， 2只没有可检测到的玻璃体视网膜粘连的眼睛出现无黄斑孔的RD。这4只眼的BCVA明显降低。其余4只眼没有出现并发症，但黄斑厚度明显增加。结论：这些发现提示黄斑视网膜裂可能是一种进行性疾病，并发症似乎与玻璃体视网膜牵拉的存在有关。
PURPOSE: To investigate the natural course of macular retinoschisis in highly myopic patients.DESIGN: A prospective, observational case series.METHODS: Seven consecutive patients (eight eyes) with macular retinoschisis without macular hole or retinal detachment determined by optical coherence tomography (OCT) were followed at least two years without surgical intervention. The changes in the OCT findings and best,corrected visual acuity (BCVA) were analyzed.RESULTS: During follow,up, two eyes that had vitreoretinal adhesions developed a macular hole, one with and one without retinal detachment (RD), and two eyes without detectable vitreoretinal adhesion developed RD without a macular hole. BCVA in these four eyes was significantly reduced. The remaining four eyes did not develop complications, although the thickness of the macula increased significantly.CONCLUSIONS: These findings suggest that macular retinoschisis might be a progressive condition, and that complications appeared to be related to the presence of vitreoretinal tractions.