Hirokawa H, Kado M, Yoshida A
Dept. of Ophthalmol., Asahikawa Medical College, Japan.
Nippon Ganka Gakkai Zasshi. 1990 Jan;94(1):61-4.
The vitreous and visual acuity in 103 eyes with idiopathic preretinal macular fibrosis were examined. The vitreous was studied biomicroscopically and the follow-up course was 6 months or more. Twenty-two eyes had no posterior vitreous detachment (group 1), 4 eyes had partial posterior vitreous detachment without traction to the macula (group 2), 17 eyes had partial posterior vitreous detachment with traction to the macula (group 3), and 60 eyes had complete posterior vitreous detachment (group 4). There were significantly more eyes with a visual acuity of 0.4 or worse, decreased acuity, or macular fluorescein leakage in group 3 than in groups 1 or 4. Decreased visual acuity was found in 41% of eyes with macular fluorescein leakage, but in only 11% of eyes without macular fluorescein leakage. It is presumed that the vitreous traction to the macula and macular fluorescein leakage are closely related to the outcome of visual acuity in cases with idiopathic preretinal macular fibrosis.
对103例特发性视网膜前黄斑纤维化患者的103只眼进行了玻璃体及视力检查。采用生物显微镜对玻璃体进行研究，随访时间为6个月或更长时间。22只眼无玻璃体后脱离（第1组），4只眼有部分玻璃体后脱离但未牵拉黄斑（第2组），17只眼有部分玻璃体后脱离且牵拉黄斑（第3组），60只眼有完全玻璃体后脱离（第4组）。与第1组或第4组相比，第3组中视力为0.4或更差、视力下降或黄斑荧光素渗漏的眼明显更多。黄斑荧光素渗漏的眼中有41%视力下降，但无黄斑荧光素渗漏的眼中只有11%视力下降。据推测，特发性视网膜前黄斑纤维化病例中，玻璃体对黄斑的牵拉及黄斑荧光素渗漏与视力预后密切相关。
