Progression from macular retinoschisis to retinal detachment in highly myopic eyes is associated with outer lamellar hole formation.
Progression from macular retinoschisis to retinal detachment in highly myopic eyes is associated with outer lamellar hole formation.
复制标题
DOI：
10.1136/bjo.2007.131359
复制
发表时间：
2008-06
期刊：
影响因子：
--
通讯作者：
Mochizuki M
中科院分区：
文献类型：
--
作者：
Shimada N;Ohno-Matsui K;Yoshida T;Sugamoto Y;Tokoro T;Mochizuki M
目的应用光学相干断层扫描(OCT)研究近视性黄斑视网膜劈裂症(MRS)早期视网膜脱离(RD)发生过程中的形态变化。对连续5例发生RD的近视MRS患者的5只眼的OCT图像进行了研究。从MRS到早期RDS的发展经历了四个阶段。在阶段1，OCT图像显示视网膜外部厚度局灶性不规则性。在阶段2中，增厚区域内发育了一个外部板层孔，并形成了一个小的RD。在阶段3中，孔洞上的柱状结构在水平方向上似乎是分开的，外部板层孔洞在垂直方向上似乎更大。第4期，视网膜外缘进一步隆起，附着于视网膜劈裂层上部，并伴有视网膜脱离的进一步扩大。这项纵向研究表明，从近视性MRS到RD的发展经历了四个阶段，外层板层孔洞的形成使视网膜易于发生RD。这些OCT结果可能有助于考虑近视MRS的手术指征。
To investigate the morphological changes that occur during the development of an early retinal detachment (RD) from a myopic macular retinoschisis (MRS) by optical coherence tomography (OCT). The OCT images of five eyes of five consecutive patients with myopic MRS who developed an RD during the follow-up period were studied. The progression from MRS to early RDs went through four stages. In stage 1, OCT images appeared to show a focal irregularity of the thickness of external retina. In stage 2, an outer lamellar hole developed within the thickened area and a small RD developed. In stage 3, the column-like structures overlying the hole seemed to be separated horizontally, and the outer lamellar hole appeared to be larger vertically. In stage 4, the upper edge of the external retina was further elevated and attached to the upper part of the retinoschisis layer accompanied by further enlargement of the RD. This longitudinal study showed that the progression from myopic MRS to RD passes through four stages, and the formation of an outer lamellar hole predisposes the retina to a RD. These OCT findings might be useful for considering the surgical indication for eyes with a myopic MRS.
登录
查看更多内容
影响因子：
4.2
作者：
Takano, M;Kishi, S
通讯作者：
Kishi, S
影响因子：
4.1
作者：
Sayanagi, K;Ikuno, Y;Tano, Y
通讯作者：
Tano, Y
影响因子：
4.2
作者：
Shimada, Noriaki;Ohno-Matsui, Kyoko;Mochizuki, Manabu
通讯作者：
Mochizuki, Manabu
影响因子：
4.2
作者：
Sayanagi, Kaori;Ikuno, Yasushi;Tano, Yasuo
通讯作者：
Tano, Yasuo
影响因子：
4.2
作者：
Gaucher, David;Haouchine, Belkacem;Gaudric, Alain
通讯作者：
Gaudric, Alain