国际眼科纵览

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特发性黄斑裂孔术后裂孔闭合率及视功能的影响因素

王莹,韩泉洪   

  1. 300020 天津医科大学眼科临床学院 天津市眼科研究所 天津市眼科医院玻璃体与视网膜科
  • 收稿日期:2018-03-27 出版日期:2018-06-22 发布日期:2018-06-28
  • 通讯作者: 韩泉洪, Email:hanquanhong126@126.com

Factors affecting the post-operative closure rate and visual function of idiopathic macular hole

WANG Ying,HAN Quan-hong   

  1. Department of Vitrous & Retina, Tianjin Eye Hospital, Eye Clinic College of Tianjin Medical University, Tianjin Eye Insititute, Tianjin 300020, China
  • Received:2018-03-27 Online:2018-06-22 Published:2018-06-28
  • Contact: HAN Quan-hong, Email: hanquanhong126@126.com

摘要:

特发性黄斑裂孔(idiopathic macular hole,IMH)是导致患者中心视力丧失的常见眼底病之一,目前手术方式日趋成熟,手术方法逐渐改进,术后裂孔闭合率也逐渐提高。但术后视功能恢复的程度还受众多因素的影响,如黄斑裂孔的高度、基底直径、最小直径、术前裂孔形态、手术方式、术后裂孔闭合形态及黄斑区结构等。手术过程中是否剥除内界膜、是否翻瓣、术中染色剂的种类等因素对术后裂孔闭合率和视功能也有影响。(国际眼科纵览, 2018,  42:   159-163)

Abstract:

Idiopathic macular hole(IMH) is one of the common fundus diseases that cause central vision loss in patients. In recent years, with the advancement of surgical techniques,the postoperative closure rate improved gradually. The postoperative visual function was influenced by many factors, such as the height of macular hole(H), base diameter(BD), minimum linear diameter (MLD), preoperative hiatal morphology, operation method, hole-closed mophology and macular structure etc. Intraoperative factors, such as internal limiting membrane peeling, inner membrane flap and staining methods can also affect the closure rate and visual outcome.(Int Rev Ophthalmol, 2018, 42:  159-163)