来自光盘的斑点视网膜分裂,没有可见的光穴或先进的玻璃眼 (没有光穴视网膜分裂[NOPIR])
Satoko Fujimoto1, Gregg T Kokame2, Edwin H Ryan3
1Hawaii Macula and Retina Institute, Aiea, Hawaii.
Ophthalmology. Retina
|June 4, 2023
概括
没有视孔视网膜分裂 (NOPIR) 可以在没有视神经损伤的情况下发生. 由于NOPIR导致的视力损失的手术干预比观察更快地解决和改善视力.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
背景情况:
- 周 papillary 和斑点视网膜分裂可以发生在眼睛缺少可见的光穴或先进的玻璃眼变化.
- 这种被称为"无光孔视网裂症" (No Optic Pit Retinoschisis,简称NOPIR) 的疾病,带来了独特的诊断和管理挑战.
研究的目的:
- 检查被诊断患有周围毛囊和黄斑视网膜分裂而没有可见的视孔或晚期玻璃眼视力缩的眼睛.
- 评估NOPIR的观察结果与手术干预的结果.
主要方法:
- 一个回顾性的多中心病例系列,涉及11个患者的11只眼睛.
- 包括有斑点视网膜分裂的眼睛,没有视孔的眼睛,没有先进的视神经头部缩.
- 收集的数据包括视觉敏度,视网裂分辨率,分辨时间和复发情况.
主要成果:
- 这项研究包括了平均年龄为68.1岁的患者,7人接受过青光眼治疗,9人表现出神经纤维层缺陷.
- 所有眼睛都在外核层表现出视网膜,其中8只涉及斑点.
- 与观察 (28.0个月) 相比,手术干预形眼睛和视力损失导致更快的分辨率 (2.75个月) 和视力改善.
结论:
- 周 papillary 和斑点视网膜分裂可以发生在没有视孔或先进的玻璃眼眼的眼睛.
- 观察适用于没有叶干涉的眼睛或轻度视力下降的眼睛.
- 视力危险的手术,涉及膜的NOPIR提供更快的解剖解析和更好的视觉恢复.
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