[1]付维,樊芳,贾志旸.特发性黄斑裂孔诊治进展[J].眼科新进展,2018,38(10):995-1000.[doi:10.13389/j.cnki.rao.2018.0235]
 FU Wei,FAN Fang,JIA Zhi-Yang.Progress in diagnosis and treatment of idiopathic macular hole[J].Recent Advances in Ophthalmology,2018,38(10):995-1000.[doi:10.13389/j.cnki.rao.2018.0235]
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
38卷
期数:
2018年10期
页码:
995-1000
栏目:
文献综述
出版日期:
2018-10-05

文章信息/Info

Title:
Progress in diagnosis and treatment of idiopathic macular hole
作者:
付维樊芳贾志旸
050051 河北省石家庄市,河北省人民医院眼科
Author(s):
FU WeiFAN FangJIA Zhi-Yang
Department of Ophthalmology,Hebei General Hospital,Shijiazhuang 050000,Hebei Province,China
关键词:
特发性黄斑裂孔玻璃体切割术内界膜剥除奥克纤溶酶
Keywords:
idiopathic macular holevitrectomyinternal limiting membrance peelingocriplasmin
分类号:
R774.5
DOI:
10.13389/j.cnki.rao.2018.0235
文献标志码:
A
摘要:
特发性黄斑裂孔(idiopathic macular hole,IMH)是指患者眼部没有相关原发性病变,如屈光不正、外伤以及其他玻璃体视网膜病变,而出现的视网膜黄斑区全层神经上皮缺失。光学相干断层扫描(optical coherence tomography,OCT)的应用对研究IMH的发生、发展起到了至关重要的作用。新的分类标准由国际玻璃体黄斑牵拉学组(The International Vitreomacular Traction Study,IVTS)发布,应用OCT对玻璃体黄斑交界面疾病进行检查,加深对IMH的进一步认识。玻璃体切割术系统的不断更新,内界膜剥除方式的不断变化及奥克纤溶酶的应用,均对IMH的治疗有非常重要的意义及广阔的前景。本文就IMH的流行病学、分类、形成机制、诊断、治疗方法等方面的进展作一综述。
Abstract:
Idiopathic macular hole (IMH) is a complete absence of neural epithelium in the macular region of the retina.It is not related to apparent diseases such as ametropia,trauma and vitreoretinopathy.Optical coherence tomography (OCT) plays an important role in the diagnosis of IMH.The new classification of vitreomacular interface (VMI) disease has been made by the International Vitreomacular Traction Study Group based on OCT.With the update of vitrectomy system,the changing in methods of internal limiting membrance peeling(ILMP)and the application of ocriplasmin,the treatment of IMH has been significantly improved.This article will give a brief review on the recent advances of epidemiology,classification,formation mechanism,diagnosis and treatment methods of IMH.

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备注/Memo

备注/Memo:
河北省卫生与计划生育委员会重点课题项目(编号:ZL20140018)
更新日期/Last Update: 2018-09-28