Gass J D, Joondeph B C
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33101.
Am J Ophthalmol. 1990 Jun 15;109(6):638-46. doi: 10.1016/s0002-9394(14)72431-6.
Between September 1987 and April 1989, 18 patients (21 eyes) with suspected impending Stage 1 macular holes were referred to the Bascom Palmer Eye Institute. Only one patient had a Stage 1 hole. The others had an aborted stage of macular hole formation (eight eyes), Stage 2 holes (four eyes), a Stage 3 hole (one eye), or other lesions unrelated to hole formation. We believed that most of the apparently incorrect referring diagnoses were the product of incorrect interpretation of the biomicroscopic and fluorescein angiographic findings, and were not caused by changes occurring before our examination.
1987年9月至1989年4月期间，18例（21只眼）疑似即将发生1期黄斑裂孔的患者被转诊至巴斯科姆·帕尔默眼科研究所。只有1例患者存在1期裂孔。其他患者有黄斑裂孔形成的中止阶段（8只眼）、2期裂孔（4只眼）、3期裂孔（1只眼）或与裂孔形成无关的其他病变。我们认为，大多数明显错误的转诊诊断是对生物显微镜检查和荧光素血管造影结果错误解读的产物，而非我们检查之前发生的变化所致。
