Wylegała Edward, Woyna-Orlewicz Anna, Piłat Jarosław, Teper Sławomir, Ludyga Aneta
Zaktadu Pielegniarstwa i Społecznych Problemów Medycznych Slaskiej Akademii Medycznej w Katowicach.
Klin Oczna. 2006;108(10-12):457-63.
Traction maculopathies are a group of age-related degenerative diseases characterized by pathology of vitreomacular interface including idiopathic epimacular membranes, vitreomacular traction syndrome and idiopathic macular hole. The disorders develop due to mechanical forces caused by focal condensation or incomplete detachement of vitreous and shrinkage of pathological membranes. The forces can be tangential to retinal surface in epiretinal membranes, anterior-posterior in vitreomacular traction syndrome and oblique (trampoline) in idiopathic macular hole. Authors discuss pathogenesis and diagnostics of traction maculopathies with use of optical coherence tomography and microperimetry, based on current literature. This work presents also idiopathic macular hole classification with use of optical coherence tomography images compared with biomicroscopic classification by Gass.
牵引性黄斑病变是一组与年龄相关的退行性疾病,其特征是玻璃体黄斑界面病变,包括特发性黄斑前膜、玻璃体黄斑牵引综合征和特发性黄斑裂孔。这些疾病是由于玻璃体局部浓缩或不完全脱离以及病理性膜收缩所产生的机械力而发展形成的。在视网膜前膜中,这些力可与视网膜表面相切;在玻璃体黄斑牵引综合征中,力的方向为前后方向;而在特发性黄斑裂孔中,力的方向为倾斜(蹦床样)。作者基于当前文献,讨论了利用光学相干断层扫描和微视野检查法对牵引性黄斑病变的发病机制和诊断方法。这项工作还展示了利用光学相干断层扫描图像进行的特发性黄斑裂孔分类,并与加斯的生物显微镜分类法进行了比较。