Bresnick G H, Haight B, de Venecia G
Arch Ophthalmol. 1979 Oct;97(10):1890-5. doi: 10.1001/archopht.1979.01020020338010.
Retinal wrinkling of the posterior pole was studied in 40 eyes from 31 patients with diabetic retinopathy. Vitreoretinal traction was thought to produce the wrinkling in 32 of the eyes, in 13 of which macular heterotopia also developed, presumably from the same tractional forces. Epiretinal membrane formation was the apparent causal factor producing retinal wrinkling in six eyes and postphotocoagulation chorioretinal scarring in two eyes, in none of which macular heterotopia developed. Retinal wrinkling alone was associated with only mild or no visual acuity loss. Macular heterotopia was associated with more severe loss of visual acuity and with other visual symptoms. Displacement of retinal vessels was an important clue to the diagnosis of macular heterotopia.
对31例糖尿病视网膜病变患者的40只眼进行了后极部视网膜皱襞的研究。32只眼中认为玻璃体视网膜牵拉导致了皱襞形成，其中13只眼还发生了黄斑异位，推测是由相同的牵拉力所致。6只眼中视网膜前膜形成是导致视网膜皱襞的明显病因，2只眼中光凝后脉络膜视网膜瘢痕形成是病因，这些眼中均未发生黄斑异位。单纯视网膜皱襞仅与轻度视力丧失或无视力丧失相关。黄斑异位与更严重的视力丧失及其他视觉症状相关。视网膜血管移位是诊断黄斑异位的重要线索。
