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黄斑裂孔患者对侧眼的玻璃体视网膜界面异常

Vitreoretinal interface abnormalities in fellow eyes of patients with a macular hole.

作者信息

Ueoka Koji, Mizuguchi Tadashi, Horiguchi Masayuki, Ito Yasuki

机构信息

Department of Ophthalmology, Toyokawa City Hospital, Toyokawa, Aichi, Japan.

Department of Ophthalmology, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.

出版信息

Fujita Med J. 2024 May;10(2):64-68. doi: 10.20407/fmj.2023-016. Epub 2024 Feb 15.

DOI:10.20407/fmj.2023-016
PMID:38708076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11063577/
Abstract

OBJECTIVES

This study aimed to determine the incidence of bilateral macular holes (MHs), and to investigate the incidence and characteristics of retinal abnormalities in the fellow eyes, using high-definition optical coherence tomography (OCT).

METHODS

Medical records from 724 consecutive patients diagnosed with full-thickness MHs, who underwent surgery at Fujita Health University Hospital from May 2015 to March 2022, were retrospectively reviewed. Based on the exclusion criteria, 658 patients with idiopathic MHs were included. B-scan OCT images of the fellow eyes were used to identify vitreoretinal interface abnormalities, such as MHs, epiretinal membranes (ERMs), vitreomacular traction syndrome (VMTS) and lamellar macular holes (LMHs).

RESULTS

The mean age of the patients was 65.9±9.0 years. There were 292 males (44.4%) and 366 females (55.6%). There were 39 fellow eyes with MHs (5.9%), 77 with ERMs (11.7%), 32 with VMTS (4.9%) and 11 with LMHs (1.7%). Thirty-four fellow eyes (5.2%) could not be classified and 469 fellow eyes were normal (71.3%). Furthermore, the 39 bilateral MHs were divided into four stages according to the Gass classification, as follows: stage 1, 32 eyes (82.1%); stage 2, none (0%); stage 3, 5 eyes (12.8%); and stage 4, 2 eyes (5.1%).

CONCLUSIONS

Vitreoretinal interface abnormalities, such as MHs, ERMs, VMTS and LMHs, are more common in the fellow eyes of patients with MHs than in the healthy population. The fellow eyes of patients with MHs should be carefully followed using OCT.

摘要

目的

本研究旨在利用高清光学相干断层扫描（OCT）确定双侧黄斑裂孔（MHs）的发生率，并调查对侧眼视网膜异常的发生率及特征。

方法

回顾性分析2015年5月至2022年3月在藤田保健大学医院接受手术的724例连续诊断为全层MHs患者的病历。根据排除标准，纳入658例特发性MHs患者。使用对侧眼的B超OCT图像识别玻璃体视网膜界面异常，如MHs、视网膜前膜（ERMs）、玻璃体黄斑牵引综合征（VMTS）和板层黄斑裂孔（LMHs）。

结果

患者的平均年龄为65.9±9.0岁。男性292例（44.4%），女性366例（55.6%）。对侧眼中有39例存在MHs（5.9%），77例有ERMs（11.7%），32例有VMTS（4.9%），11例有LMHs（1.7%）。34例对侧眼（5.2%）无法分类。469例对侧眼正常（71.3%）。此外，39例双侧MHs根据Gass分类分为四个阶段，如下：1期，32只眼（82.1%）；2期，无（0%）；3期，5只眼（12.8%）；4期，2只眼（5.1%）。

结论

玻璃体视网膜界面异常，如MHs、ERMs、VMTS和LMHs，在MHs患者的对侧眼中比在健康人群中更常见。应使用OCT对MHs患者的对侧眼进行仔细随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/89bb0609422b/fmj-10-064-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/3cf7e989b063/fmj-10-064-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/8b77c5d9da92/fmj-10-064-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/bd5205088fac/fmj-10-064-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/c85f5b0e7fdd/fmj-10-064-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/e0c8590d6d2f/fmj-10-064-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/89bb0609422b/fmj-10-064-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/3cf7e989b063/fmj-10-064-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/8b77c5d9da92/fmj-10-064-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/bd5205088fac/fmj-10-064-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/c85f5b0e7fdd/fmj-10-064-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/e0c8590d6d2f/fmj-10-064-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c97e/11063577/89bb0609422b/fmj-10-064-g006.jpg

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本文引用的文献

1
Prevalence and Associations of Vitreomacular Traction: The Beijing Eye Study.玻璃体黄斑牵拉的患病率及相关因素：北京眼病研究
Int J Gen Med. 2021 Oct 21;14:7059-7064. doi: 10.2147/IJGM.S333010. eCollection 2021.
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Optical coherence tomography features and risk of macular hole formation in the fellow eye.同眼的光学相干断层扫描特征与黄斑裂孔形成的风险。
BMC Ophthalmol. 2021 Sep 29;21(1):351. doi: 10.1186/s12886-021-02111-1.
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Different modes of full-thickness macular hole formation.不同类型的全层黄斑裂孔形成模式。
Exp Eye Res. 2021 Jan;202:108393. doi: 10.1016/j.exer.2020.108393. Epub 2020 Dec 7.
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Lamellar macular holes: evolving concepts and propensity for progression to full thickness macular hole.板层黄斑裂孔：不断演变的概念及进展为全层黄斑裂孔的倾向
Int J Retina Vitreous. 2020 Sep 29;6:45. doi: 10.1186/s40942-020-00252-x. eCollection 2020.
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Optical coherence tomography-based consensus definition for lamellar macular hole.基于光学相干断层扫描的板层黄斑裂孔共识定义。
Br J Ophthalmol. 2020 Dec;104(12):1741-1747. doi: 10.1136/bjophthalmol-2019-315432. Epub 2020 Feb 27.
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DEVELOPMENT OF IDIOPATHIC MACULAR HOLE IN FELLOW EYES: Spectral Domain Optical Coherence Tomography Features.特发性黄斑裂孔对侧眼的发展：谱域光学相干断层扫描特征。
Retina. 2020 Apr;40(4):765-772. doi: 10.1097/IAE.0000000000002439.
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Epidemiology and morphology of full-thickness macular holes.全层黄斑裂孔的流行病学和形态学。
Acta Ophthalmol. 2018 Jun;96(4):397-404. doi: 10.1111/aos.13618. Epub 2017 Dec 2.
8
Incidence of and Risk Factors for Developing Idiopathic Macular Hole Among a Diverse Group of Patients Throughout the United States.美国不同患者群体中特发性黄斑裂孔的发病率及发病风险因素
JAMA Ophthalmol. 2017 Apr 1;135(4):299-305. doi: 10.1001/jamaophthalmol.2016.5870.
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EPIRETINAL MEMBRANE-INDUCED FULL-THICKNESS MACULAR HOLES: The Clinical Features and Surgical Outcomes.视网膜前膜诱导的全层黄斑裂孔：临床特征与手术结果
Retina. 2016 Sep;36(9):1679-87. doi: 10.1097/IAE.0000000000000999.
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Am J Ophthalmol. 2016 Apr;164:99-109. doi: 10.1016/j.ajo.2016.02.008. Epub 2016 Feb 18.