眼科 ›› 2023, Vol. 32 ›› Issue (5): 369-375.doi: 10.13281/j.cnki.issn.1004-4469.2023.05.002

• 专家讲座 • 上一篇    下一篇

非正常玻璃体后脱离

黄厚斌   

  1. 解放军总医院海南医院眼科,三亚 572013;解放军总医院眼科医学部,北京100853
  • 收稿日期:2023-02-05 出版日期:2023-09-25 发布日期:2023-09-28
  • 通讯作者: 黄厚斌,Email: 536273642@qq.com
  • 基金资助:
    军队后勤科研项目保健专项课题(23BJZ27);海南省卫生健康行业科研项目(22A200351);军委后勤保障部保健专项科研课题面上项目(19BJZ39)

Anomalous posterior vitreous detachment

Huang Houbin   

  1. Department of Ophthalmology, Hainan Hospital of PLA General Hospital, Sanya 572013, China; Senior Department of Ophthalmology, PLA General Hospital, Beijing 100853, China
  • Received:2023-02-05 Online:2023-09-25 Published:2023-09-28
  • Contact: Huang Houbin, Email: 536273642@qq.com
  • Supported by:
    Health Care Special Project of PLA Logistics Reasearch Fund (23BJZ37); Scientific Reasearch Project of Health Industry in Hainan Province (22A200351); Special Scientific Research Project of the Logistic Support Department of the Chinese Military Committee (19BJZ39)

摘要:  玻璃体后皮质未完全与视网膜内界膜分离,或者玻璃体后皮质与视网膜分离后,有部分玻璃体组织残留在视网膜内界膜表面等,均为非正常玻璃体后脱离。非正常玻璃体后脱离可造成玻璃体劈裂、视网膜裂孔等,有些玻璃体劈裂残留在视网膜内界膜表面的组织仅含有部分玻璃体皮质纤维,而有些则含有大量的细胞,这与全层黄斑裂孔、板层黄斑裂孔、黄斑假孔、黄斑前膜等病变的发生密切相关。(眼科,2023,32: 369-375

关键词: 非正常玻璃体后脱离, 玻璃体劈裂, 黄斑裂孔, 黄斑假孔, 黄斑前膜

Abstract:  Other than innocuous posterior vitreous detachment (PVD), anomalous PVD indicates partial adhesion of posterior vitreous cortex to retina inner limiting membrane, or remnants of posterior vitreous cortex on the surface of inner limiting membrane. Anomalous PVD can result in vitreoschisis, retinal breaks, etc. The residual vitreous cortex could be fibrous with few cells or cell-rich, which are highly associated with the pathogeneses of full-thickness macular hole, lamellar macular hole, pseudomacular hole and epimacular membrane. (Ophthalmol CHN, 2023, 32: 369-375)

Key words:  anomalous posterior vitreous detachment, vitreoschisis, macular hole, pseudomacular hole, epimacular membrane