不同类型黄斑裂孔周边视网膜变性的比较

发布时间：2018-02-10 20:32

本文关键词： 高度近视眼外伤黄斑裂孔　出处：《眼科新进展》2017年09期 　论文类型：期刊论文

【摘要】：目的比较高度近视性(-6.00 D)黄斑裂孔和外伤性黄斑裂孔的患眼周边视网膜变性区的发生情况。方法行玻璃体切割术的黄斑裂孔患者106例(106眼),分为两组:A组为高度近视性黄斑裂孔组,68例(68眼);B组为外伤性黄斑裂孔组,38例(38眼)。所有患者均进行术前三面镜和玻璃体切割术中对周边视网膜检查,以确认周边视网膜的变性情况。结果A组中周边视网膜有变性区者52眼,占76.47%;B组中周边视网膜有变性区者8眼,占21.05%。两组周边视网膜变性区的发生率比较,差异有统计学意义组周边视网膜有变性区的8眼中,非压迫变白者6眼,检出率15.79%;格子样变性7眼,检出率18.42%;囊样变性4眼,检出率10.53%;其他类型变性2眼,检出率5.26%。结论外伤性黄斑裂孔其周边视网膜变性的发生率比高度近视黄斑裂孔明显较少。
[Abstract]:Objective to compare high myopia (-6.00 D) with macular hole and traumatic macular hole in eyes with peripheral retinal degeneration area. Methods for vitreous body incision of macular hole were split in 106 (106 eyes), divided into two groups: group A for high myopic macular hole group, 68 cases (68 eyes); group B for traumatic macular hole group, 38 cases (38 eyes). All patients underwent preoperative three mirror and vitreous body cutting operation of peripheral retinal examination, to confirm the degeneration of the peripheral retina. Results in the A group of peripheral retinal degeneration in 52 eyes, accounting for 76.47% in the B group; peripheral retinal degeneration in 8 eyes, accounting for 21.05%. of the two groups of peripheral retinal degeneration area were compared, there was a significant difference between the group with peripheral retinal degeneration area in 8 eyes, non white oppression in 6 eyes, the detection rate of 15.79%; lattice degeneration in 7 eyes, the detection rate of 18.42% cystoid; degeneration in 4 eyes, the detection rate of 10.53 %; other types of degeneration in 2 eyes, the detection rate of 5.26%. conclusion traumatic macular hole the peripheral retinal degeneration incidence ratio of macular hole in high myopia was significantly less.

【作者单位】：郑州大学第一附属医院眼科;
【基金】：河南省卫生计生委医学科技攻关项目(编号:201403055);河南省卫生计生委医学科技攻关项目(编号:201503056)~~
【分类号】：R779.6

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