Relationship between full-thickness macular hole and retinal break/lattice degeneration.

眼科学报 Pub Date : 2015-11-24 DOI:10.3978/J.ISSN.1000-4432.2015.11.02

Jinglin Zhang, Yong-hao Li, Xiujuan Zhao, Yu Cai, Xiling Yu, Lin Lu

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引用次数: 2

Abstract

BACKGROUND The purpose is to investigate the relationship between full-thickness macular hole (MH) and retinal break (RB) and/or lattice degeneration. METHODS Patients diagnosed as full-thickness MH and referred to Dr. Lin Lu from January 2009 to December 2013 were evaluated. All patients underwent general ophthalmologic examinations, fundus examination and optical coherence tomography (OCT). The RB and/or lattice degeneration were recorded. RESULTS Totally 183 eyes of 167 patients were included. The sex ratio of men to women was 1:2.88. A total of 17 eyes were pseudophakic and 166 eyes were phakic. RB and/or lattice degeneration were found in 62 eyes (33.88%). The prevalence of RB and/or lattice degeneration was similar between men and women (P = 0.344 > 0.05). There was no statistical difference between the pseudophakic eyes and phakic eyes (P = 0.138 > 0.05). All of the RB and/or lattice degeneration were located near or anterior to the equator. The inferior quadrants and the vertical meridian were affected more often than the superior quadrants and the horizontal meridian. CONCLUSIONS We identified a high incidence of RB/lattice degeneration in cases of full-thickness MH. Carefully examination of the peripheral retina and prophylactic treatment of RB and/or lattice degeneration are critical.

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全层黄斑裂孔与视网膜破裂/晶格变性的关系。

目的是探讨全层黄斑孔(MH)与视网膜破裂(RB)和/或晶格变性之间的关系。方法对2009年1月至2013年12月就诊于林路医生的全层MH患者进行评价。所有患者均行眼科检查、眼底检查和光学相干断层扫描(OCT)。记录RB和/或晶格变性。结果167例患者共183只眼。男女性别比为1:2.88。假性晶状眼17眼，晶状眼166眼。RB和/或晶格变性62眼(33.88%)。男性和女性RB和/或晶格变性的患病率相似(P = 0.344 > 0.05)。假晶状眼与晶状眼比较，差异无统计学意义(P = 0.138 > 0.05)。所有RB和/或晶格变性位于赤道附近或前方。下象限和垂直子午线比上象限和水平子午线更容易受到影响。结论:我们发现RB/晶格变性在全层MH病例中发生率很高，仔细检查周围视网膜并预防性治疗RB和/或晶格变性至关重要。

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来源期刊

眼科学报

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期刊介绍： Eye science was founded in 1985. It is a national medical journal supervised by the Ministry of Education of the People's Republic of China, sponsored by Sun Yat-sen University, and hosted by Sun Yat-sen University Zhongshan Eye Center (in October 2020, it was changed from a quarterly to a monthly, with the publication number: ISSN: 1000-4432; CN: 44-1119/R). It is edited by Ge Jian, former dean of Sun Yat-sen University Zhongshan Eye Center, Liu Yizhi, director and dean of Sun Yat-sen University Zhongshan Eye Center, and Lin Haotian, deputy director of Sun Yat-sen University Zhongshan Eye Center, as executive editor. It mainly reports on new developments and trends in the field of ophthalmology at home and abroad, focusing on basic research in ophthalmology, clinical experience, and theoretical knowledge and technical operations related to epidemiology. It has been included in important databases at home and abroad, such as Chemical Abstract (CA), China Journal Full-text Database (CNKI), China Core Journals (Selection) Database (Wanfang), and Chinese Science and Technology Journal Database (VIP).