[1]杨娟娟,高荣玉,张 杰,等.高度近视黄斑劈裂的治疗研究[J].医学信息,2021,34(16):40-43.[doi:10.3969/j.issn.1006-1959.2021.16.011]
　YANG Juan-juan,GAO Rong-yu,ZHANG Jie,et al.Study on the Treatment of Myopic Foueoschisis in High Myopia[J].Medical Information,2021,34(16):40-43.[doi:10.3969/j.issn.1006-1959.2021.16.011]
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高度近视黄斑劈裂的治疗研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年16期
页码:
40-43
栏目:
综述
出版日期:
2021-08-15

文章信息/Info

Title:
Study on the Treatment of Myopic Foueoschisis in High Myopia
文章编号:
1006-1959（2021）16-0040-04
作者:
杨娟娟; 高荣玉; 张 杰; 等
（潍坊医学院，山东 潍坊 261053）
Author(s):
YANG Juan-juan; GAO Rong-yu; ZHANG Jie; et al.
(Weifang Medical University,Weifang 261053,Shandong,China)
关键词:
高度近视; 黄斑劈裂; 玻璃体切除术; 后巩膜加固术
Keywords:
High myopia; Myopic foueoschisis; Vitrectomy; Posterior scleral reinforcement
分类号:
R774.5
DOI:
10.3969/j.issn.1006-1959.2021.16.011
文献标志码:
A
摘要:
高度近视黄斑劈裂病程进展缓慢，患者通常没有临床症状，部分患者后期进展为中心凹脱离、黄斑裂孔和视网膜脱离，对其视力造成严重损伤。光学相干断层扫描是诊断和检测患者病情进展的主要手段，对于出现黄斑区异常结构的高度近视患者尽早检测、及时给予手术干预有利于患者术后视力改善及解剖结构的恢复。玻璃体切除联合或者不联合内界膜剥除术是当前治疗黄斑劈裂最广泛应用的手术方式，但对于术中是否应联合内界膜剥除一直存在争议。近几年来，临床治疗该病的新方法也逐渐增多。为此，本文主要就黄斑劈裂的发生机制、治疗方法及当前存在的争议进行总结，以期为临床治疗该病提供帮助。
Abstract:
The course of macular split in high myopia is slow and the patients usually have no clinical symptoms. Some patients progress to foveal detachment, macular hole and retinal detachment in later stages, causing serious damage to their vision.Optical coherence tomography is the main method for diagnosing and detecting the progress of the patient’s condition. Early detection and timely surgical intervention for patients with high myopia with abnormal structures in the macular area are beneficial to the improvement of postoperative vision and the recovery of anatomical structures.Vitrectomy with or without internal limiting membrane stripping is currently the most widely used surgical method for the treatment of macular split, but there has been controversy as to whether it should be combined with internal limiting membrane stripping during the operation.In recent years, new methods for clinical treatment of the disease have gradually increased. To this end, this article mainly summarizes the mechanism, treatment methods and current controversies of macular split in order to provide help for the clinical treatment of the disease.

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更新日期/Last Update: 1900-01-01