[1]庞雪娜,杨鸽,万文萃,等.高度近视眼底及后极部的影像学评估[J].眼科新进展,2016,36(5):461-465.[doi:10.13389/j.cnki.rao.2016.0123]
　PANG Xue-Na,YANG Ge,WAN Wen-Cui,et al.Iconography evaluation of fundus and posterior pole in high myopia[J].Recent Advances in Ophthalmology,2016,36(5):461-465.[doi:10.13389/j.cnki.rao.2016.0123]
点击复制

高度近视眼底及后极部的影像学评估
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
36卷
期数:
2016年5期
页码:
461-465
栏目:
应用研究
出版日期:
2016-05-05

文章信息/Info

Title:
Iconography evaluation of fundus and posterior pole in high myopia
作者:
庞雪娜; 杨鸽; 万文萃; 刘宇莹; 杨果果; 金学民
450000　河南省郑州市，郑州大学第一附属医院眼科郑州大学眼底病研究所
Author(s):
PANG Xue-Na;  YANG Ge;  WAN Wen-Cui;  LIU Yu-Ying;  YANG Guo-Guo; JIN Xue-Min
Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000 , Henan Province , China
关键词:
高度近视; 后巩膜葡萄肿; 眼底彩照; 光学相干断层成像; 眼部B超; 3D-MRI
Keywords:
high myopia ;  posterior scleral staphyloma ;  color fundus photography ;  optical coherence tomography;  ocular B ultrasound;  three-dimensional magnetic resolution imaging
DOI:
10.13389/j.cnki.rao.2016.0123
文献标志码:
A
摘要:
目的　观察高度近视眼底及后极部在眼底彩照、光学相干断层成像（ｏｐｔｉｃａｌｃｏｈｅｒｅｎｃｅｔｏｍｏｇｒａｐｈｙ，ＯＣＴ）、眼部Ｂ超及３Ｄ-ＭＲＩ检查中的图像特征，分析各种检查在高度近视不同进展阶段的评估价值。方法　对３２例（６０眼）高度近视患者，根据屈光度大小分为Ａ、Ｂ两组，Ａ组屈光度为－６．００～－１０．００Ｄ，Ｂ组屈光度为－１０．２５～－２６．００Ｄ，测量眼轴长度后，分别行眼底彩照、ＯＣＴ、眼部Ｂ超及３Ｄ-ＭＲＩ检查，比较两组病例在各项检查中的表现。结果　Ａ组眼轴长度为（２６．５２±１．７０）ｍｍ，眼底彩照７３．０８％表现为豹纹状眼底＋视盘弧形斑，此时ＯＣＴ、Ｂ超、３Ｄ-ＭＲＩ未显示特殊改变；Ｂ组眼轴长度为（２８．８０±２．２４）ｍｍ，眼底彩照８８．２４％出现较豹纹状眼底＋视盘弧形斑更严重的表现，ＯＣＴ表现出各种特征性改变，Ｂ超可以显示后巩膜葡萄肿分级，３Ｄ-ＭＲＩ表现出眼球的各种形态改变。结论　高度近视患者屈光度数≤－１０．００Ｄ时眼底及后极部改变相对较轻，屈光度＞－１０．００Ｄ时眼底及后极部改变相对较重；眼底彩照可早期显示高度近视的眼底改变，随病变进展，与ＯＣＴ、Ｂ超、３Ｄ-ＭＲＩ的综合评估有助于全面了解病变的发展阶段和严重程度。
Abstract:
Objective To observe the image characteristics of color fundus photography , optical coherence tomography ( OCT) , ocular ultrasound and three-dimensional magnetic resolution imaging ( 3D-MRI) of fundus and posterior pole in high myopia, and respectively discuss the clinical application value in different development stage. Methods Thirty-two high myopia patients ( 60 eyes) were divided into group A and B according to the size of diopter,which in group A was from - 6. 00 D to - 10. 00 D. group B was from - 10. 25 D to - 26. 00 D , after measuring the ocular axial length , the exanunations of color fundus photography , OCT , B ultrasound and 3 D-MRI , then the performances of the examinations were compared between two groups. Results In group A, the ocular axis length was ( 26. 52 + 1. 70) mm.73. 08% of eyes showed the tessellated fundus + comus rn color fundus photography , but OCT , B ultrasound and 3DMRI showed no special change. In group B, the ocular axis length was ( 28. 80 + 2. 24 ) mm.88. 24% of eyes showed more serious performances than tessellated fundus + comus.OCT showed various characteristic changes, B ultrasound exhibited the grade of scleral staphyloma,3D-MRI showed various forms of changes. Conclusion High myopia patients with diopter> - 10. 00 D show relatively light lesion ,with diopter > - 10. 00 D show relatively heavy lesion. Color fundus photography can display early changes of high myopia, along with the lesions progress , the comprehensive evaluation together with OCT , B ultrasound and 3D-MRI is conducive to a comprehensive understanding of disease stages and severity.

相似文献/References:

[1]田磊 万文萃 郭辉 王天云 卢杰 夏昆 金学民 胡正茂.高度近视家系 ZNF644基因突变筛查[J].眼科新进展,2012,32(5):000.
[2]计垣.近视的分子遗传学研究进展[J].眼科新进展,2012,32(6):000.
[3]刘彩娟 谭少健 李霞 唐东永 黄宝宇 梁皓.有晶状体眼虹膜固定型人工晶状体植入术后远期视觉质量[J].眼科新进展,2012,32(11):000.
[4]徐静 李雪.高度近视致病基因的研究新进展[J].眼科新进展,2012,32(11):000.
[5]唐东永 李霞 梁皓 何剑 谭少健.应用超声生物显微镜观察Bigbag人工晶状体在高度近视眼囊袋内的稳定性[J].眼科新进展,2013,33(6):000.
[6]蔡洁 李沁 何剑 赵必诚 邱耀英 谭少健.高度近视LASIK术后双眼调节聚散及近立体视功能的变化[J].眼科新进展,2013,33(8):000.
[7]雷智.高度近视一眼白内障另一眼透明晶状体双眼手术的疗效分析[J].眼科新进展,2013,33(8):000.
[8]杨积文 卜立敏 纪惠芳 苑苗苗 张悦.高度近视儿童配戴硬性透气性角膜接触镜临床观察[J].眼科新进展,2012,32(2):000.
[9]惠玲 张自峰 王雨生 师晓莉.超声乳化术治疗高度近视白内障的临床观察[J].眼科新进展,2012,32(8):000.
[10]王梓 李一壮 李青.不同手术方式对高度近视合并白内障患者黄斑区视网膜厚度及视力的影响[J].眼科新进展,2012,32(9):000.
[11]杜雅莉,金创,林丽瑜,等.后巩膜葡萄肿深度与高度近视合并白内障患者术后屈光误差的关系[J].眼科新进展,2018,38(11):1070.[doi:10.13389/j.cnki.rao.2018.0252]
　DU Ya-Li,JIN Chuang,LIN Li-Yu,et al.The relationship between the depth of posterior staphyloma and refractive error after cataract surgery in patients with high myopia[J].Recent Advances in Ophthalmology,2018,38(5):1070.[doi:10.13389/j.cnki.rao.2018.0252]
[12]刘灿,蒋紫园,徐方,等.高度近视合并白内障患者后巩膜葡萄肿类型对白内障术后屈光误差的影响[J].眼科新进展,2023,43(7):542.[doi:10.13389/j.cnki.rao.2023.0109]
　LIU Can,JIANG Ziyuan,XU Fang,et al.Effect of posterior staphyloma types on the postoperative refractive error in patients with high myopia and cataract[J].Recent Advances in Ophthalmology,2023,43(5):542.[doi:10.13389/j.cnki.rao.2023.0109]

更新日期/Last Update: 2016-05-04