| 代燕妮,刘超群,杨桢,等.高度近视黄斑裂孔性视网膜脱离伴后巩膜葡萄肿手术进展[J].安徽医药,2025,29(7):1295-1299. |
| 高度近视黄斑裂孔性视网膜脱离伴后巩膜葡萄肿手术进展 |
| Advances in the surgery of highly myopic macular hole and retinal detachment with posterior scleral staphyloma |
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| DOI：10.3969/j.issn.1009-6469.2025.07.006 |
| 中文关键词: 视网膜脱离 高度近视 后巩膜葡萄肿 玻璃体切割术 后巩膜加固术 |
| 英文关键词: Retinal detachment High myopia Posterior staphyloma Vitrectomy Posterior scleral reinforcement |
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| 中文摘要: |
| 黄斑裂孔性视网膜脱离( MHRD)由眼轴增长、黄斑部视网膜变性裂孔以及液化的玻璃体进入视网膜下导致，而后巩膜葡萄肿( PS)主要与视网膜和脉络膜的结构异常有关。视网膜局部萎缩、视网膜裂孔、视网膜脱离等导致视力严重受损，常见于高度近视。目前 PS的病因尚不明确，但 PS的出现可能会进一步促进近视性黄斑病变，降低 MHRD术后视网膜复位可能。该研究就目前临床上常用于治疗 MHRD伴 PS的手术方式及主要手术方式的优缺点作一综述。 |
| 英文摘要: |
| Macular hole with retinal detachment (MHRD) is caused by axial elongation of the eye, leading to macular retinal degenera-tion, hole formation, and liquefied vitreous penetration into the subretinal space. Posterior scleral staphyloma (PS) is mainly associatedwith structural abnormalities of the retina and choroid, which can easily result in localized retinal atrophy, retinal holes, retinal detach-ment, and severe visual impairment, commonly seen in high myopia. The etiology of posterior staphyloma of the sclera remains unclearat present. The occurrence of PS may accelerate the progression of myopic macular degeneration and reduce the possibility of retinal re-attachment after MHRD surgery. Therefore, this article provides an overview of the surgical methods commonly used in clinical practicefor treating MHRD with PS, as well as the advantages and disadvantages of the main surgical approaches. |
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