Altman B A, Linn J E
Vitreo-Retinal Foundation, Memphis, Tennessee, USA.
Optom Clin. 1996;5(1):147-59.
Choroidal neovascularization is an important disease process that can result in severe vision loss in the affected eye. It has been a challenge for ophthalmic physicians to manage this complicated disease, especially when the neovascularization is subfoveal. Our increased understanding of macular disorders has allowed the development of advanced instrumentation and techniques in the treatment and management of choroidal neovascularization. As a treatment alternative to laser therapy, skilled vitreoretinal surgeons today have the technical ability to partially restore and maintain central visual function by surgically removing subfoveal choroidal neovascular membranes. Management of this condition may consist of monitoring the neovascularization, performing laser therapy, or surgically removing the choroidal neovascularization. This paper is limited to the surgical management of this disorder.
脉络膜新生血管形成是一种重要的疾病过程,可导致患眼严重视力丧失。对于眼科医生来说,管理这种复杂的疾病一直是一项挑战,尤其是当新生血管位于黄斑中心凹下时。我们对黄斑疾病的深入了解推动了治疗和管理脉络膜新生血管形成的先进仪器和技术的发展。作为激光治疗的替代治疗方法,如今技术娴熟的玻璃体视网膜外科医生有能力通过手术切除黄斑中心凹下的脉络膜新生血管膜来部分恢复和维持中心视觉功能。这种情况的管理可能包括监测新生血管形成、进行激光治疗或手术切除脉络膜新生血管。本文仅限于该疾病的手术管理。