高度近视患者黄斑病变分型与视网膜劈裂的关系

doi:10.3760/cma.j.issn.1674-845X.2019.03.003

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摘要

目的：观察高度近视患者黄斑病变国际分型特征及其与视网膜劈裂之间的关系。方法：回顾性系列病例研究。收集2015年10月至2017年12月于上海交通大学附属第一人民医院眼科门诊就诊的116例（174眼）高度近视患者的病史资料和眼科检查信息，所有患者均接受眼底照相及高清OCT扫描检查，对图像进行分析评价。计量资料采用独立样本t检验或单因素方差分析。计数资料的比较采用Fisher's精确概率法。结果：116例（174眼）高度近视患者根据眼底彩照图像特征可分为5型：C0无近视退行性病变型（10眼）、C1豹纹状眼底病变型（74眼）、C2弥漫视网膜脉络膜萎缩型（36眼）、C3片状视网膜脉络膜萎缩型（25眼）、C4黄斑萎缩型（29眼）。其中70眼（40%）合并视网膜劈裂，均发生在C1、C2、C3、C4型中，其中C2型的发生率（58%）最高。结论：基于眼底彩照的国际分型结合OCT显示弥漫视网膜脉络膜萎缩型高度近视黄斑病变发生视网膜劈裂的可能性大。

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关键词 ：高度近视, 黄斑病变, 视网膜劈裂, 光学相干断层扫描

Abstract：

Objective: To study the correlation between retinoschisis and different types of fundus disease in high myopia and evaluate the different types of morphologic characteristics in highly myopic eyes. Methods:In this retrospective study, 116 patients (174 eyes) with high myopia from the outpatient department were included from October 2015 to December 2017. All participants underwent standardized medical interviews and ophthalmic examinations. An independent samples t test or one-way ANOVA were used to compare the measurement data. A chi square test (Fisher's exact probability method) was used to compare the numerical data. Results: There were five types of fundus disease shown on the fundus photographs: C0, no macular lesions in 10 eyes; C1, tessellated fundus in 74 eyes; C2, diffuse chorioretinal atrophy in 36 eyes; C3, patchy chorioretinal atrophy in 25 eyes and C4, macular atrophy in 29 eyes. Retinoschisis was detected in 70 eyes (40%) among eyes with C1, 2, 3, and 4, and the incidence of retinoschisis was highest in C2 (58%). Conclusions: The International Classification based on fundus color photography combined with OCT shows the highest prevalence of retinoschisis in highly myopia patients with diffuse chorioretinal atrophy

Key words： high myopia myopic maculopathy retinoschisis optical coherence tomography

收稿日期: 2018-11-27

基金资助:

上海市科委项目基金（16411952900）；上海交通大学医学院“研究型医师”团队（20152229）；
上海眼视觉与光医学工程技术研究中心（16dz2251500）

通讯作者: 孙晓东（ORCID：0000-0001-5015-0945），Email：xdsun@sjtu.edu.cn

引用本文:

王若诗宋珉璐王晓寒李彤汪枫桦孙晓东. 高度近视患者黄斑病变分型与视网膜劈裂的关系[J]. 中华眼视光学与视觉科学杂志, 2019, 21(3): 170-174. Ruoshi Wang, Minlu Song, Xiaohan Wang, Tong Li, Fenghua Wang, Xiaodong Sun. Investigation of Myopic Maculopathy Classification and Its Relationship with Retinoschisis in Highly Myopic Eyes. Chinese Journal of Optometry Ophthalmology and Visual science, 2019, 21(3): 170-174. DOI: 10.3760/cma.j.issn.1674-845X.2019.03.003

链接本文:

https://www.cjoovs.com/CN/10.3760/cma.j.issn.1674-845X.2019.03.003 或 https://www.cjoovs.com/CN/Y2019/V21/I3/170

[1]	Wong YL, Saw SM. Epidemiology of pathologic myopia in Asia
	and Worldwide. Asia Pac J Ophthalmol (Phila), 2016, 5(6): 394-
40	2. DOI: 10.1097/APO.0000000000000234.
[2]	关小一, 袁艳, 范先群, 等. 上海市学龄儿童屈光与立体视锐
	度的调查. 中华眼视光学与视觉科学杂志, 2014, 16(3): 132-
13	6. DOI: 10.3760/cma.j.issn.1674-845X.2014.03.002.
[3]	中华医学会眼科学分会眼视光学组. 重视高度近视防控的专
	家共识(2017). 中华眼视光学与视觉科学杂志, 2017, 19(7):
38	5-389. DOI: 10.3760/cma.j.issn.1674-845X.2017.07.001.
[4]	Hayashi K, Ohno-Matsui K, Shimada N, et al. Long-term
	pattern of progression of myopic maculopathy: A natural history
	study. Ophthalmology, 2010, 117(8): 1595-1611, 1611.e1-4.
	DOI: 10.1016/j.ophtha.2009.11.003.
[5]	Grossniklaus HE, Green WR. Pathologic findings in pathologic
	myopia. Retina, 1992, 12(2): 127-133. DOI: 10.1097/00006982-
19	9212020-00009.
[6]	朱双倩, 薛安全, 俞阿勇, 等. 高度近视视网膜劈裂症光学
	相干断层扫描检查的临床研究. 中华眼视光学与视觉科学
	杂志, 2011, 13(6): 460-462. DOI: 10.3760/cma.j.issn.1674-
84	5X.2011.06.015
[7]	Takano M, Kishi S. Foveal retinoschisis and retinal detachment
	in severely myopic eyes with posterior staphyloma. Am J
	Ophthalmol, 1999, 128(4): 472-476.
[8]	Ohno-Matsui K, Kawasaki R, Jonas JB, et al. International
	photographic classification and grading system for myopic
	maculopathy. Am J Ophthalmol, 2015, 159(5): 877-883.e7.
	DOI: 10.1016/j.ajo.2015.01.022.
[9]	Chang L, Pan CW, Ohno-Matsui K, et al. Myopia-related
	fundus changes in Singapore adults with high myopia. Am J
	Ophthalmol, 2013, 155(6): 991-999.e1. DOI: 10.1016/j.ajo.
20	13.01.016.
[10]	Avila MP, Weiter JJ, Jalkh AE, et al. Natural history of choroidal
	neovascularization in degenerative myopia. Ophthalmology,
19	84, 91(12): 1573-1581.
[11]	吴彩云, 张文芳, 陶明, 等. 高度近视黄斑病变的OCT和FFA
	形态学分类的对比分析. 国际眼科杂志, 2014, 14(3): 441-446.
	DOI: 10.3980/j.issn.1672-5123.2014.03.16.
[12]	王晓寒, 肖美春, 王若诗, 等. 高度近视分类与玻璃体视网
	膜界面特征之间的关系. 上海交通大学学报(医学版), 2017,
37	(11): 1517-1522.
[13]	Shimada N, Tanaka Y, Tokoro T, et al. Natural course of myopic
	traction maculopathy and factors associated with progression or
	resolution. Am J Ophthalmol, 2013, 156(5): 948-957.e1. DOI:
10	1016/j.ajo.2013.06.031.
[14]	Benhamou N, Massin P, Haouchine B, et al. Macular
	retinoschisis in highly myopic eyes. Am J Ophthalmol, 2002,
13	3(6): 794-800.
[15]	姜春晖, 王文吉, 王玲, 等. 光学相干断层扫描对黄斑部视网
	膜劈裂的观察. 眼科研究, 2008, 26(6): 433-435. DOI: 10.3760/
	cma.j.issn.2095-0160.2008.06.014.
[16]	Henaine-Berra A, Zand-Hadas IM, Fromow-Guerra J, et al.
	Prevalence of macular anatomic abnormalities in high myopia.
	Ophthalmic Surg Lasers Imaging Retina, 2013, 44(2): 140-144.
	DOI: 10.3928/23258160-20130219-01.
[17]	高付林, 张卯年, 王炜, 等. 高度近视后巩膜葡萄肿黄斑劈
	裂光学相干扫描图像特征. 中国实用眼科杂志, 2005, 23(5):
54	7-550. DOI: 10.3760/cma.j.issn.1006-4443.2005.05.032.