Tractional internal limiting membrane detachment in highly myopic eyes

Tractional internal limiting membrane detachment in highly myopic eyes
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DOI:
10.1016/j.ajo.2006.05.031
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发表时间:
2006-11-01
影响因子:
4.2
通讯作者:
Tano, Yasuo
Tano, Yasuo
中科院分区:
医学1区
文献类型:
--
作者:
Sayanagi, Kaori;Ikuno, Yasushi;Tano, Yasuo

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目得:目的:报道高度近视眼伴后葡萄肿的牵拉性内界膜(ILM)脱离的临床特点。设计:观察性病例报告。方法:我们回顾了249只高度近视眼的光学相干断层扫描图像。6只眼(2.4%)观察到ILM脱离。结果:近视性黄斑中心凹裂(MF)发生率为67%(6例,2男4女,平均年龄57.3岁)。平均眼轴长度为29.3 mm,平均屈光不正为-15.0屈光度。最佳矫正视力范围为20/400 ~ 20/13。结论:内眦韧带的僵硬似乎引起切线牵引,并导致高度近视特有疾病的主要原因,即MF。
PURPOSE: To report the clinical features of tractional internal limiting membrane (ILM) detachment in highly myopic eyes with posterior staphyloma.DESIGN: Observational case report.METHODS: We reviewed the optical coherence tomography images of 249 eyes in the high myopia clinic. ILM detachment was observed in six eyes (2.4%). We inves, tigated the clinical feature of this finding.RESULTS: Myopic foveoschisis (MF) was present in four of the six eyes (67%) (six patients, two men and four women; mean age, 57.3 years). The mean axial length was 29.3 mm and the mean refractive error was -15.0 diopters. The best,corrected visual acuity levels ranged from 20/400 to 20/13.CONCLUSIONS: Rigidity of the ILM seems to cause tangential traction and results in a major cause of a disease specific to high myopia; that is, MF.