眼科 ›› 2025, Vol. 34 ›› Issue (5): 333-340.doi: 10.13281/j.cnki.issn.1004-4469.2025.05.001

• 专家讲座 •    下一篇

内层视网膜混浊肿胀

黄厚斌   

  1. 中国人民解放军总医院眼科医学部,北京100853;中国人民解放军总医院海南医院眼科,海南三亚 572013
  • 收稿日期:2025-05-06 出版日期:2025-09-25 发布日期:2025-09-12
  • 通讯作者: Email: 536273642@qq.com
  • 基金资助:
    海南省重点研发计划高新技术项目(ZDYF2024GXJS032);军队后勤科研项目保健专项课题(23BJZ37);海南省卫生健康行业科研项目(22A200351)

Inner retina cloudy swelling 

Huang Houbin   

  1. Senior Department of Ophthalmology, PLA General Hospital, Beijing 100853, China; Department of Ophthalmology, Hainan Hospital of PLA General Hospital, Sanya Hainan 572013, China
  • Received:2025-05-06 Online:2025-09-25 Published:2025-09-12
  • Contact: Email: 536273642@qq.com
  • Supported by:
    High and New Technology Project of Hainan Key Research and Development Plan (ZDYF2024GXJS032); Health Care Special Project of PLA Logistics Research Fund (23BJZ37); Scientific Research Project of Health Industry in Hainan Province (22A200351)

摘要: 内层视网膜混浊肿胀是视网膜动脉阻塞后内层视网膜缺血造成的内层视网膜发白、肿胀,其病理本质是细胞肿胀或称细胞内水肿,但常被描述为水肿,而水肿实际上是细胞间隙液体的积聚。内层视网膜混浊肿胀有别于棉绒斑、外层视网膜混浊肿胀、全层视网膜混浊肿胀和炎性混浊肿胀,但这些都是不同原因造成的细胞肿胀,其病理本质是一样的。而与内层视网膜混浊肿胀外观类似的Berlin水肿却既不是水肿,也不是细胞肿胀,而是外力作用造成光感受器-RPE界面的损伤、错位甚至断裂。严格区分这些概念特别是其基本的病理生理机制对于深入认识和鉴别相关的疾病非常重要。

关键词: 混浊肿胀, 缺血, 水肿

Abstract:   Mistaken as edema, inner retina cloudy swelling in fact is the ischemic whitening and oncosis of inner five layers of retina following retinal artery occlusion. Its pathological nature is cellular swelling, or intracellular edema, but not fluid accumulation intercellularly as edema. The inner retina cloudy swelling is different from cotton spot, outer retina cloudy swelling, whole-thickness retina cloudy swelling and inflammatory cloudy swelling, although the pathological natures of them are cellular swelling too. However, the appearance of Berlin edema mimics inner retina cloudy swelling very much, although it is neither cellular swelling nor edema. It is injures, malpositions, even fractures of the interdigitation  between photoreceptors and retinal pigment epithelia. Strictly discrimination of these conceptions especially their phathophysiological bases is of vital importance to recognize and illuminate the associated diseases.

Key words:  Cloudy swelling, Ischemia, Edema