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特发性黄斑视网膜前膜 被引量:15

Idiopathic preretinal macular membrane
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摘要 为观察60例67眼特发性黄斑视网膜前膜的临床特点和视力预后,并探讨其程度分期。用荧光造影,90D前置镜或三面镜裂隙灯作检查。结果①视网膜前膜多发生在老年人,本组占96.7%,单眼发病占88.3%,双眼发病占11.7%,左右眼发病无差异。②玻璃体后脱离占61.2%。③按程度分期:一期38只眼占56.7%,二期21只眼占31.3%,三期5只眼占7.5%。4.36例(64.3%)视力在0.5以上。结论:视网膜前膜为一老年性病变,病情发展缓慢,视力预后好。有明显膜形成者作玻璃体切割和膜剥离术可改善视力。 To examine the clinical characteristics and visual prognosis in 67 eyes of 60 patients with idiopathic preretinal macular membrane,and to explore the stages.By using fluorecein angiography and 90D mirror or three mirror and slit lamp biomicroscopy.Results.1.Idiopathic preretinal membrane usually occured in the elderly,about 96 7% in our study.88 3% of patients had unilateral and 11 7% had bilateral involvment.there was no difference in left and right eye.2.Of 67 eyes with Idiopathic preretinal membrane,41 cases(61 2%) had posterior vitreous detachment.3.The membrane formation was divided in three stages,in this study,38 eyes(56 7%)in first stage,21 eyes(31 3%)in second stage,5 eyes(7 5%)in third stage.4.The visual acuity in 36 cases(64 3%)was above 0 5 Conclusion.Our results suggest that idiopathic preretinal macular membrane is a disease in the elderly,Progress of the disease was slow,The visual prognosis is usually better.If the patient had distinct membrane formation,it is possible that the visual acuity would be improved after vitrectomy and membrane peeling.
作者 张惠蓉 王薇
出处 《中国实用眼科杂志》 CSCD 1997年第10期608-610,I000,共4页 Chinese Journal of Practical Ophthalmology
关键词 视网膜前膜 视力预后 黄斑变性 idiopathic preretinal macular membrane,stage,visual acuity
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