Gözüm N, Cakir M, Gücukoglu A, Sezen F
Department of Ophthalmology, Istanbul University, Faculty of Medicine, Turkey.
Eur J Ophthalmol. 1997 Jul-Sep;7(3):277-82. doi: 10.1177/112067219700700313.
We analysed the relationship between central and peripheral retinal lesions and axial length (AL), patient's age and sex with myopia greater than 6 diopters. A total of 212 eyes of 109 patients with high myopia underwent detailed funduscopy and A-scan ultrasonography. AL was measured, and central and peripheral retinal lesions were noted. Results were analysed using Student's t-test. Sixty-one patients (118 eyes) were female and 48 (94 eyes) male. Mean age was 31.00 +/- 13.67 years, and mean AL was 28.31 +/- 2.02 mm. Chorioretinal atrophy, Fuchs' spot, posterior staphyloma and posterior vitreous detachment increased significantly with AL and age. Fuchs' spot was more common in females. White-without-pressure (WWP) was inversely correlated with AL and age, and was more common in males. The high frequency of WWP in younger patients and moderate AL suggests that these lesions result from vitreoretinal tractions. Lattice degeneration was also a frequent finding in high myopia, and tended to increase with AL and age, though without reaching statistical significance.
我们分析了近视度数大于6屈光度的患者中，视网膜中央和周边病变与眼轴长度（AL）、患者年龄及性别的关系。对109例高度近视患者的212只眼进行了详细的眼底检查和A超超声检查。测量了眼轴长度，并记录了视网膜中央和周边病变情况。结果采用学生t检验进行分析。其中61例患者（118只眼）为女性，48例（94只眼）为男性。平均年龄为31.00±13.67岁，平均眼轴长度为28.31±2.02mm。脉络膜视网膜萎缩、Fuchs斑、后巩膜葡萄肿和玻璃体后脱离随眼轴长度和年龄的增加而显著增加。Fuchs斑在女性中更为常见。无压力白色病变（WWP）与眼轴长度和年龄呈负相关，在男性中更为常见。年轻患者和中等眼轴长度时WWP的高发生率表明，这些病变是由玻璃体视网膜牵拉引起的。格子样变性在高度近视中也很常见，且有随眼轴长度和年龄增加的趋势，尽管未达到统计学意义。
