鉴别全层黄斑裂孔与即将形成的黄斑裂孔及黄斑假性裂孔。
Differentiating full thickness macular holes from impending macular holes and macular pseudoholes.
作者信息
Tsujikawa M, Ohji M, Fujikado T, Saito Y, Motokura M, Ishimoto I, Tano Y
机构信息
Department of Ophthalmology, Osaka University Medical School, Japan.
出版信息
Br J Ophthalmol. 1997 Feb;81(2):117-22. doi: 10.1136/bjo.81.2.117.
AIMS
The reliability of scanning laser ophthalmoscope (SLO) microperimetry in differentiating full thickness macular holes from macular pseudoholes and impending macular holes was evaluated.
METHODS
106 eyes with the clinical diagnosis of full thickness macular holes, macular pseudoholes, and impending (stage 1) macular holes were examined for the presence of deep or relative scotoma using SLO microperimetry. The relation between these scotomas and the clinical diagnosis was studied.
RESULTS
Deep and relative scotomas were detected in all 57 eyes with clinically defined full thickness macular holes. In contrast, among 49 eyes diagnosed with macular pseudoholes or impending macular holes, no deep and only one relative scotoma was observed. The sensitivity of the presence of a deep scotoma as an indicator of the clinical diagnosis of a full thickness macular hole was 100% (57 of 57), and the specificity was 100% (49 of 49). The sensitivity of the presence of a relative scotoma was 100% (57 of 57) and the specificity was 98.0% (48 of 49).
CONCLUSION
With SLO microperimetry, full thickness macular holes can be precisely and objectively distinguished from other conditions that mimic macular holes.
目的
评估扫描激光检眼镜（SLO）微视野检查在鉴别全层黄斑裂孔与黄斑假性裂孔及黄斑裂孔形成前期方面的可靠性。
方法
对106例临床诊断为全层黄斑裂孔、黄斑假性裂孔及黄斑裂孔形成前期（1期）的患者进行SLO微视野检查，以检测是否存在深层或相对性暗点，并研究这些暗点与临床诊断之间的关系。
结果
在所有57例临床确诊为全层黄斑裂孔的眼中均检测到深层和相对性暗点。相比之下，在49例诊断为黄斑假性裂孔或黄斑裂孔形成前期的眼中，未观察到深层暗点，仅观察到1例相对性暗点。深层暗点作为全层黄斑裂孔临床诊断指标的敏感性为100%（57/57），特异性为100%（49/49）。相对性暗点的敏感性为100%（57/57），特异性为98.0%（48/49）。
结论
通过SLO微视野检查，可准确、客观地将全层黄斑裂孔与其他类似黄斑裂孔的情况区分开来。
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