上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2017, Vol. 37 ›› Issue (11): 1518-.doi: 10.3969/j.issn.1674-8115.2017.11.012

• 论著（临床研究） • 上一篇    下一篇

高度近视分类与玻璃体视网膜界面特征之间的关系

王晓寒，肖美春，王若诗，杨仕琪，李彤，周彦萍，汪枫桦，孙晓东   

  1. 上海交通大学附属第一人民医院眼科，上海  200080
  • 出版日期:2017-11-28 发布日期:2018-01-10
  • 通讯作者: 汪枫桦，电子信箱：shretina@sjtu.edu.cn
  • 作者简介:王晓寒（1989—），女，硕士生；电子信箱：15163816169@163.com
  • 基金资助:
    上海市科学技术委员会项目（16411952900）；上海市教育委员会高峰高原学科建设计划（20152229）；上海眼视觉与光医学工程技术研究中心项目 （16dz2251500）

Relationship between classification of vitreoretinal interface features and pathological myopia#br#

WANG Xiao-Han, XIAO Mei-Chun, WANG Ruo-Shi, YANG Shi-Qi, LI Tong, ZHOU Yan-Ping, WANG Feng-Hua, SUN Xiao-Dong   

  1. Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China
  • Online:2017-11-28 Published:2018-01-10
  • Supported by:
    Project of Science and Technology Commission of Shanghai Municipality, 16411952900; Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support, 20152229; Project of Shanghai Engineering Center for Visual Science and Photomedicine, 16dz2251500

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摘要： 目的 · 采用增强高分辨率光学相干断层扫描仪（OCT）观察高度近视患者的玻璃体视网膜界面形态特征，并研究其与高度近 视分类之间的关系。方法 · 采集 2015—2016 年门诊高度近视患者的病史资料和眼科检查信息，对入组患眼的眼底照相及 OCT 玻璃体 视网膜界面图像进行评价。结果 · 纳入 130 例高度近视患者（195 眼），据眼底病变分为病理性近视与单纯性高度近视 2 组。玻璃体的 增强 OCT 图像特征观察到 4 种类型： 1 型——后极部皮质前玻璃体腔型； 2 型——皮质粘连型； 3 型——视网膜前膜型； 4 型——无牵 引型。病理性近视多发生在 2、3、4 型患眼中。结论 · 增强高分辨率 OCT 可敏感检出高度近视玻璃体视网膜界面的特征表现，玻璃 体皮质黏附及视网膜前膜可能与病理性近视有关。

关键词: 病理性近视, 玻璃体视网膜界面, 玻璃体增强光学相干断层扫描仪

Abstract:

Objective · To investigate the relationship between pathological myopia and  classification of vitreoretinal interface features using enhanced vitreous imaging optical coherence tomography (EVI-OCT).  Methods · High myopia patients were included from 2015 to 2016. All participants underwent standardized medical interviews and ophthalmic examination.  Results · The included eyes were divided into two groups of pathological myopia and simple high myopia based on myopic macular degeneration observed on fundus photography . There were four types of vitreoretinal interface changes demonstrated on EVI-OCT scans in included eyes: Type1, posterior precortical vitreous pockets (PPVP), Type2, partial posterior vitreous detachment with vitreous adhesion (VA), Type 3, epiretinal membrane (ERM), and Type 4, no traction (NT).  Pathological myopia was mostly detected in VA, ERM, and NT groups.  Conclusion · EVI-OCT was able to demonstrate the early changes of vitreoretinal interface in high myopia eyes. Vitreous adhesions and traction detected by OCT may facilitate the occurrence of pathological myopia.

Key words:  pathological myopia, vitreoretinal interface features, enhanced vitreous imaging optical coherence tomography

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