Kakehashi A, Trempe C L
Ann Ophthalmol. 1993 Jan;25(1):24-8.
We recommend a biomicroscopic vitreous examination that combines an anterior vitreous examination done without using a neutralizing lens and a posterior vitreous examination using the high-power (low-magnification) double aspheric positive preset lens. When detailed observation of the posterior and peripheral vitreous are required, we also recommend the additional use of a low-power (high-magnification) double aspheric preset lens and the Goldmann three-mirror lens. Details of the anterior vitreous can be examined best without using a neutralizing lens and those of the posteror vitreous, by using the low-power double aspheric preset lens. The high-power double aspheric preset lens provides a wider field of view and more accessibility when the patient has small pupils and cataracts than the low-power double aspheric preset lens. The peripheral vitreous is best observed using a Goldmann three-mirror lens. We believe the method we describe can serve as a guide for a comprehensive clinical biomicroscopic vitreous examination.
我们建议进行生物显微镜玻璃体检查，该检查结合了不使用中和透镜进行的前部玻璃体检查以及使用高倍（低倍率）双非球面正预置透镜进行的后部玻璃体检查。当需要对后部和周边玻璃体进行详细观察时，我们还建议额外使用低倍（高倍率）双非球面预置透镜和戈德曼三面镜。不使用中和透镜可最佳地检查前部玻璃体的细节，而使用低倍双非球面预置透镜可检查后部玻璃体的细节。当患者瞳孔较小且患有白内障时，高倍双非球面预置透镜比低倍双非球面预置透镜提供更宽的视野和更好的可达性。使用戈德曼三面镜可最佳地观察周边玻璃体。我们相信我们所描述的方法可作为全面临床生物显微镜玻璃体检查的指南。
