摘要
近视牵引性黄斑病变(myopia traction maculopathy,MTM)是导致高度近视患者失明的主要并发症.视网膜前牵引力(玻璃体牵引、视网膜前膜牵引、内界膜牵引)、视网膜后牵引力(后巩膜葡萄肿、眼轴的延长)以及视网膜自身因素等被认为是其发病的主要机制.MTM的治疗以手术为主,针对不同的牵引力有不同手术方式的选择,如玻璃体切除术、内界膜剥除术、视网膜前膜剥除术、后巩膜加固术、黄斑扣带术等.(国际眼科纵览,2024,48:69-74)
Abstract
Myopic traction maculopathy(MTM)is a primary complication that causes blindness in patients with high myopia.Anterior retinal traction(vitreous traction,anterior retinal traction,and inner limiting membrane traction),posterior retinal traction(posterior scleral staphyloma,axial elongation),and retinal factors are thought to be the main mechanisms in its pathogenesis.The treatment of myopic traction maculopathy is mainly surgery,and there are different surgical options for different traction forces,such as pars plana vitrectomy,internal limiting membrane removal,epiretinal membrane removal,posterior scleral reinforcement and macular buckling,etc.(Int Rev Ophthalmol,2024,48:69-74)
基金项目
国家自然科学基金(82070929)
天津市医学重点学科(专科)建设项目(TJYXZDXK-037A)
维普
万方数据