论文部分内容阅读
特发性老年性黄斑裂孔是严重危害老年人中心视力的疾病之一，主要发生在６０岁年龄段屈光正常的老年妇女中。发病后视网膜神经感觉层不仅在裂孔区缺损，而且在裂孔边缘发生浅层脱离和水肿。目前主要采取玻璃体切割、剥离玻璃体后皮质及黄斑前膜、惰性气体充填或术中合并生物因子应用等显微手术治疗，以保持或提高中心视力。手术并发症包括进行性晶体核硬化、色素上皮损害、血管阻塞、视网膜裂孔、局部视野缺损等。对特发性黄斑裂孔的治疗不仅要求一定的技术条件，方法的选择还要权衡利弊。现就近几年对该病的治疗进展情况作一综述。
Idiopathic age-related macular hole is one of the diseases that seriously endangered the eyesight in the elderly, mainly in elderly women with normal refractive age of 60 years old. After the onset of the retinal nerve sensory layer defect not only in the hiatus, but also in the edge of the hole shallow detachment and edema. At present, the main use of vitrectomy, vitreous posterior cortex and macular degeneration, inert gas filling or intraoperative application of biological factors such as microsurgical treatment to maintain or improve central vision. Surgical complications include progressive lens nuclear sclerosis, pigment epithelial damage, vascular occlusion, retinal tears, local visual field defects and so on. The treatment of idiopathic macular hole not only requires certain technical conditions, the choice of methods but also weigh the pros and cons. In recent years, the progress of treatment of the disease are reviewed.