摘要
589例608只眼黄斑裂孔中。多数（67％）的视力为 0.O1～0.1,69.3％的患者视野有2°～3°中心暗点,裂孔最小如针尖,大者至1个视盘直径,多数为1/2～1/4视盘直径。在单纯随诊观察1～18年的76只眼中,5只眼视力下降,3只眼中心暗点扩大,4只眼发生视网膜浅层脱离,6只眼出现视网膜皱褶,无1例黄斑裂孔自然愈合。经手术治疗的138只眼中,以气液交换或联合玻璃体切割成功率为最高（P<0.01）。激光光凝394只眼,视为预后与裂孔封闭情况均好于单纯随诊观察者（P<0.01）。
We report six hundred and eight eyes of 589 cases of macular hole. The visual acuity of most cases (67%) was in the range of 0.01 to 0.1, 69.3% of the cases revealed central scotoma 2°~3°in the visual field, the size of macular hole was in the range of pin head to 1 disc diameter (DD), majority was 1 / 2 to 1 / 4DD. Seventy six eyes were simply followed up from 1 to 18 years, the visual acuity decreased in 5 eyes, the central scotoma enlarged in 3 eyes and flat retina detachment occurred in 4 eyes and retina fold appeared in 6 eyes, no macular hole was healed spontaneously. Of 138 post-operative eyes, the highest surgery successful rate of retina reattachment was obtained in the group of gas / fluid exchange combined with or without vitrectomy. 394 eyes were treated with laser photocoagulation, the visual prognosis and the hole he aling were better than those without any treatment.
出处
《中国中医眼科杂志》
1995年第3期146-148,共3页
China Journal of Chinese Ophthalmology
