超广角眼底激光扫描在高度近视后巩膜葡萄肿的临床应用

邓 佳碧, 刘慧 露*
柳州市红十字会医院（柳州市眼科医院）

摘要


目的：探讨超广角眼底激光扫描在高度近视后巩膜葡萄肿的临床应用。高度近视后巩膜葡萄肿（PSS）作为病理性近视的核心并发症，其早期精准评估对预防不可逆视力损害至关重要。传统影像技术（50°眼底彩照、B超等）存在视野局限、分辨率不足等缺陷，难以全面评估PSS的形态学特征及进展风险。超广角眼底激光扫描技术通过广视野（200°）、高分辨率（14μm轴向分辨率）成像，实现了对PSS结构改变和并发症的“一站式”评估，成为临床诊疗的革命性工具。

关键词


高度近视；后巩膜葡萄肿；超广角眼底激光扫描

全文:

PDF


参考


[1]GBD 2019 Blindness and Vision Impairment Collaborators; Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health. 2021 Feb;9(2):e144-e160.

[2]魏文斌，李赫妍.病理性近视眼后巩膜葡萄肿的影像学诊断[J].中华眼科杂志，2024，60（07）：630-634.

[3]Nakao N, Igarashi-Yokoi T, Takahashi H, Xie S, Shinohara K, Ohno-Matsui K. Quantitative Evaluations of Posterior Staphylomas in Highly Myopic Eyes by Ultra-Widefield Optical Coherence Tomography. Invest Ophthalmol Vis Sci. 2022 Jul 8;63(8):20.

[4]中华预防医学会公共卫生眼科分会.中国学龄儿童眼球远视储备、眼轴长度、角膜曲率参考区间及相关遗传因素专家共识（2022年）[J].中华眼科杂志.2022.58（2）：96-102.

[5]Ohno-Matsui K, Jonas JB. Posterior staphyloma in pathologic myopia. Prog Retin Eye Res. 2019 May;70:99-109.

[6]Liu H, Meng F, Wang B, Li J, Xi Y, Yi Q, Zhang Y. Fundus morphological characteristics assesment in high myopia patients with or without posterior scleral staphyloma by optical coherence tomography. Photodiagnosis Photodyn Ther. 2024 Aug;48:104258.

[7]TANG Yunxia ,CHEN Qianyin ,LI Mengyuan ,ZHANG Saisai ,ZHANG Jinglin .Clinical application of ultra-wide field laser ophthalmoscope in peripheral retinopathy in myopic patients.Yan Ke Xue Bao,2019,34(3):130-135.

[8]HAO GS, LIU ZS, ZHAO J, et al. Application of Daytona wide angle fundus imaging system in preoperative examination of refractive surgery[ J]. International Journal of Ophthalmology, 2019, 19(2): 346-348.

[9]Ehongo A. Understanding Posterior Staphyloma in Pathologic Myopia: Current Overview, New Input, and Perspectives. Clin Ophthalmol. 2023 Dec 12;17:3825-3853.

[10]Ohno-Matsui K. Proposed classification of posterior staphylomas based on analyses of eye shape by three-dimensional magnetic resonance imaging and wide-field fundus imaging. Ophthalmology. 2014 Sep;121(9):1798-809.

[11]何广辉，田歌，陈松，武斌，董蒙，张笑天，王梦，吴冠男.后巩膜葡萄肿边缘视网膜激光光凝在高度近视黄斑裂孔性视网膜脱离玻璃体切割手术中的应用.中华眼底病杂志，2021，37（4）：271-276.

[12]Delbarre M, Le HM, Boucenna W, Froussart-Maille F. Hypermétropie et chirurgie réfractive [Refractive surgery for hyperopia]. J Fr Ophtalmol. 2021 May;44(5):723-729. French.

[13]Update and guidance on management of myopia. European Society of Ophthalmology in cooperation with International Myopia Institute. Eur J Ophthalmol. 2021 May;31(3):853-883.

[14]Saw SM, Matsumura S, Hoang QV. Prevention and Management of Myopia and Myopic Pathology. Invest Ophthalmol Vis Sci. 2019 Feb 1;60(2):488-499.

[15]Burgoyne CF, Wang YX, Jeoung JW, Hong S, Gardiner S, Reynaud J, Fortune B, Girard MJA, Sharpe G, Nicolela M, Chauhan BC, Yang H. OCT Optic Nerve Head Morphology in Myopia II: Peri-Neural Canal Scleral Bowing and Choroidal Thickness in High Myopia-An American Ophthalmological Society Thesis. Am J Ophthalmol. 2023 Aug;252:225-252.


Refbacks

  • 当前没有refback。