CLINICAL CHARACTERISTICS OF IDIOPATHIC FOVEOMACULAR RETINOSCHISIS
CLINICAL CHARACTERISTICS OF IDIOPATHIC FOVEOMACULAR RETINOSCHISIS
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DOI：
10.1097/iae.0000000000000938
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发表时间：
2016-08-01
影响因子：
3.3
通讯作者：
Shiraga, Fumio
中科院分区：
文献类型：
--
作者：
Maruko, Ichiro;Morizane, Yuki;Shiraga, Fumio
目的：描述特发性黄斑中心凹视网膜劈裂的临床特征，与近视、青光眼、视盘凹陷或青少年视网膜劈裂无关。结果：5例（5只眼）特发性黄斑中心凹视网膜劈裂患者，男2例，女3例，年龄71-78岁，平均75.2岁。平均等效球镜为+2.40屈光度（范围：+0.88至+5.75屈光度），平均轴长为22.0 mm（范围：21.1-23.1 mm）。所有患者的视网膜劈裂从黄斑到视盘在受影响的眼睛。所有患者对侧眼均无视网膜劈裂。平均最佳矫正视力为20/44（68早期治疗糖尿病视网膜病变研究字母评分）。特发性黄斑中心凹视网膜劈裂症不遗传，也不与近视、玻璃体黄斑牵引综合征、视凹或青光眼相关，但与年龄较大、单侧性、远视伴短轴长、完全性玻璃体后脱离、荧光素血管造影显示视盘有微弱渗漏。
Purpose: To describe the clinical features of idiopathic foveomacular retinoschisis not in association with myopia, glaucoma, optic disk pit, or juvenile retinoschisis.Methods: Retrospective observational case series. Five eyes of five patients with idiopathic foveomacular retinoschisis were included.Results: The patients were 2 men and 3 women (average age, 75.2 years; range, 71-78 years). The average spherical equivalent was +2.40 diopters (range, +0.88 to +5.75 diopters), and the average axial length was 22.0 mm (range, 21.1-23.1 mm). All patients had retinoschisis from the macula to the optic disk in the affected eye. No patients had retinoschisis in the fellow eye. The average best-corrected visual acuity was 20/44 (68 Early Treatment Diabetic Retinopathy Study letter score).Conclusion: Idiopathic foveomacular retinoschisis is not inherited or associated with myopia, vitreomacular traction syndrome, optic pit, or glaucoma but is associated with older age, unilaterality, hyperopia with short axial length, complete posterior vitreous detachment, and weak leakage from the optic disk on fluorescein angiography.