Hassenstein A, Scholz F, Richard G
Augenklinik und Poliklinik, Universitätskrankenhaus Eppendorf, Hamburg.
Ophthalmologe. 2004 Aug;101(8):777-84. doi: 10.1007/s00347-004-1053-x.
The traditional Gass classification of macular holes can now be supplemented by additional and more detailed morphologic information obtained with optical coherence tomography (OCT). The perifoveal vitreous detachment and subsequent anterior foveal traction is considered to be the primary pathomechanism of macular hole formation. In cases of persistent traction on the fovea it may lead to foveal dehiscence. A possible explanation for intraretinal cyst formation may be secondary vitreous body fluid accumulation within the retina. A classification of macular holes based on additional information from OCT images is possible. Thus, OCT is a valuable tool for differential diagnosis of a pseudo macular hole versus macular hole, precise stage classification, therapy decision making process, outcome control after macular surgery, and prognosis prediction.
传统的黄斑裂孔加斯分类法现在可以通过光学相干断层扫描（OCT）获得的更多详细形态学信息来补充。黄斑中心凹周围玻璃体脱离及随后的中心凹前牵引被认为是黄斑裂孔形成的主要发病机制。在黄斑中心凹持续受到牵引的情况下，可能会导致中心凹裂开。视网膜内囊肿形成的一个可能解释可能是视网膜内继发性玻璃体体液积聚。基于OCT图像的额外信息对黄斑裂孔进行分类是可行的。因此，OCT是鉴别假性黄斑裂孔与黄斑裂孔、精确分期、治疗决策过程、黄斑手术后结果控制以及预后预测的有价值工具。
