国际眼科纵览 ›› 2024, Vol. 48 ›› Issue (5): 333-340.doi: 10.3760/ cma.j.issn.1673-5803.2024.05.003

• 综述 • 上一篇    下一篇

地图样萎缩的诊治与研究进展

廖兴明 杨玉婷 马红婕   

  1. 暨南大学附属爱尔眼科医院,广州 510071
  • 收稿日期:2024-06-12 出版日期:2024-10-22 发布日期:2024-10-15
  • 通讯作者: 马红婕,Email:eyemhj@163.com
  • 基金资助:
    湖南省自然科学基金(2023JJ70012)

Recent progress in diagnosis, treatment and research of geographic atrophy

Liao Xingming, Yang Yuting, Ma Hongjie   

  1. Aier Eye Hospital, Jinan University, Guangzhou 510071, China
  • Received:2024-06-12 Online:2024-10-22 Published:2024-10-15
  • Contact: Ma Hongjie, Email: eyemhj@163.com
  • Supported by:
    Natural Science Foundation of Hunan Province(2023JJ70012)

摘要: 地图样萎缩(geographic atrophy,GA)是年龄相关性黄斑变性晚期病变的一种类型,其病变特征为进行性和不可逆的光感受器、视网膜色素上皮和脉络膜毛细血管损失。眼科影像技术如眼底彩照、眼底自发荧光、OCT等是GA诊断及疾病进展评估的重要手段。视觉功能的监测评估在GA病情监测中具有重要意义,单一的视功能检测并不能反映患者的真实视觉感受,需结合最佳矫正视力、低亮度视力、微视野等进行综合评估。目前,GA尚无强有效的治疗方法,但补体抑制剂及基因治疗等新兴治疗方法显示出一定的前景。 (国际眼科纵览,2024, 48:333-340)

关键词: 地图样萎缩, 影像特征

Abstract: Geographic atrophy (GA) is an advanced form of age-related macular degeneration, characterized by progressive and irreversible loss of photoreceptors, retinal pigment epithelium, and choriocapillaris. Ophthalmic imaging technologies, such as color fundus photography, fundus autofluorescence, and optical coherence tomography, are crucial tools for diagnosing and assessing disease progression in GA. Monitoring visual function is essential in the disease surveillance of GA, and a single visual function test may not fully reflect the patient's true visual experience. A comprehensive assessment should combine best corrected visual acuity, low luminance visual acuity, and microperimetry to provide a more complete evaluation. Currently, there is no effective treatment for GA, but emerging therapies such as complement inhibitors and gene therapy show promising prospects. (Int Rev Ophthalmol, 2024, 48:  333-340)

Key words: geographic atrophy, imaging features