Kakehashi A, Ishiko S, Konno S, Akiba J, Yoshida A
Department of Ophthalmology, Nemuro City Hospital.
Nippon Ganka Gakkai Zasshi. 1995 Aug;99(8):920-4.
To improve differential diagnosis of macular breaks, microperimetry with a scanning laser ophthalmoscope (SLO) was performed. Fifty consecutive macular breaks were detected by biomicroscopy and indirect ophthalmoscopy, and SLO microperimetry was performed on each. Of the 50 eyes, 22 eyes were diagnosed with idiopathic macular breaks by biopmicroscopy and indirect ophthalmoscopy because of a cuff. SLO microperimetry also showed dense scotoma within the macular break and relative scotoma on the cuff in the 22 eyes. However, diagnosis was not done only by biomicroscopy and indirect ophthalmoscopy in the other 28 eyes because of the absence of a cuff. SLO microperimetry differentiated the full thickness macular breaks from pseudo-or lamellar breaks in these eyes. SLO microperimetry is useful for differentiating their prognosis, and determining the need for surgical treatment.
为改善黄斑裂孔的鉴别诊断，我们使用扫描激光检眼镜（SLO）进行了微视野检查。通过生物显微镜和间接检眼镜连续检测出50例黄斑裂孔，并对每例进行了SLO微视野检查。在这50只眼中，22只眼因存在袖套样改变通过生物显微镜和间接检眼镜被诊断为特发性黄斑裂孔。SLO微视野检查也显示这22只眼的黄斑裂孔内有致密暗点，袖套样改变处有相对暗点。然而，另外28只眼因不存在袖套样改变，仅通过生物显微镜和间接检眼镜无法做出诊断。SLO微视野检查在这些眼中区分了全层黄斑裂孔与假性或板层裂孔。SLO微视野检查有助于鉴别其预后，并确定是否需要手术治疗。
