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继发性黄斑裂孔发病原因和临床处理

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Author:: No author available

Journal Title:: Chinese Journal of Ocular Fundus Diseases

Issue:: 2

DOI:: 10.3760/cma.j.issn.1005-1015.2012.02.035

Key Word:: 视网膜穿孔/病因学;视网膜穿孔/外科学;玻璃体切除术;综述

Abstract：继发性黄斑裂孔是指由外伤、眼科手术、视网膜血管疾病、眼内炎症、眼内肿瘤等眼部其他病变所造成或伴发的黄斑裂孔(MH).由于病因和发病机制与特发性MH不同,其临床表现和转归也不尽相同,可合并黄斑水肿、出血、视网膜脱离或视网膜色素上皮病变等异常.部分外伤性MH可以自愈,视力预后也常常受原发病变的影响.玻璃体切割手术是治疗继发性MH的重要手段,但手术指证不同于特发性MH.不仅要考虑裂孔本身,还要考虑到原发病因对预后的影响.由于缺少统一的病例选择和手术时机标准,在临床处理上,要综合考虑MH以及原发眼病和患者的具体情况,从而尽量改善继发性MH的预后.

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