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特发性黄斑裂孔术后视力预测的研究进展

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特发性黄斑裂孔可通过睫状体平坦部玻璃体切除联合内界膜剥离治疗,实现裂孔解剖上的闭合,但术后视功能恢复主要取决于黄斑功能,而视力是评估黄斑功能最常用的指标,受多因素影响.术前症状持续时间越短、最佳矫正视力越好、裂孔越小、视网膜外层结构以及视网膜血管状态越完整,术后视力改善越佳.近年来,人工智能也逐渐被用于预测特发性黄斑裂孔术后视力,自动识别术前的影像学资料及相关临床特征所训练出来的模型为临床医生选择手术方案、了解患者术后恢复情况提供依据.(国际眼科纵览,2024,48:109-116)
Research progress in predicting postoperative visual acuity of idiopathic macular hole
Idiopathic macular hole(IMH)can often be successfully anatomically closed through a pars plana vitrectomy combined with internal limiting membrane peeling.However,the restoration of visual function mainly depends on macular function.The visual acuity is the most commonly used indicator to eval-uating macular function and is influenced by multiple factors.The shorter the duration of preoperative symp-toms,the better the best-corrected visual acuity,the smaller the tear size,the more complete the outer struc-ture of retinal and the state of retinal blood vessels,the better the postoperative visual improvement.In re-cent years,artificial intelligence has also been gradually used to predict postoperative visual acuity of IMH,the models trained on preoperative imaging data and relevant clinical features by automatic recognition pro-vide the basis for clinical decision-making and understanding postoperative recovery of patients.(Int Rev Ophthalmol,2024,48:109-116)

idiopathic macular holedeep learningvisual acuity

林彦君、陈倩茵、张静琳

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暨南大学附属爱尔眼科医院,广州 510071

特发性黄斑裂孔 深度学习 视力

广州市科技计划爱尔眼科医院集团科研项目

202201020075AF2101D5

2024

国际眼科纵览
中华医学会 北京市眼科研究所

国际眼科纵览

影响因子:0.243
ISSN:1673-5803
年,卷(期):2024.48(2)
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