黃斑裂孔之臨床觀察

Clinical Observation on Macular Holes

蘇崇宜(Chorng-Yi Su) ； 魏福宗(Fu-Chung Wei) ； 蔡武甫(Wu-Fu Tsai)

《中華民國眼科醫學會會刊》 30卷4期 (1991/12) Pp. 47-52

https://doi.org/10.30048/ACTASOS.199112.0132

摘要

黃斑裂孔是眼科重要疾病，臨床上並非偶見。從民國79年2月至79年11月，十個月間，逢甲眼科共收集32例，36眼，其中男6例，女26例，年齡在33歲至74歲之間，平均為60.1歲，其平均視力在0.1以下。又黃斑裂孔合併網膜剝離9例，其他為單純黃斑裂孔，且特別有1例左眼黃斑裂孔，在門診追蹤檢查期間，右眼亦發生黃斑裂孔。黃斑裂孔的成因是向多數因子所促成，諸如構造的薄弱，血液循環不足，老化，以及玻璃體的牽引等。我們配合螢光眼底攝影，視野檢查等，來探討此疾病的鑑別診斷，裂孔的演變，可能的治療，並且強調健眼的臨床變化及有否相關危險因子的存在。

並列摘要

Thirty six eyes of 32 patients with macular hole were studied in the period from Feb. 1980 to Nov. 1980, by means of color fundus, FAG, direct Ophthalmoscope, indirect ophthalmoscope, perimetry, and slit-lamp biomicroscopy. Of them, 26 were women and 6 were men, with mean age of 60.1 years and average visual acuity between 0.05 to 0.1. According to the etiology of macular hole, we divided these patients into 4 categories as following: 18 idiopathic, 2 tramatic, 2 post-ocular Surgery, and 1 following intraocular inflammation. The fellow eye of 11 patients had abnormal macular appearance, 4 presented with macular hole, and the others showed irregular surface, central yellowish deposits, mottling change, or pseudomacular hole. Results also suggest that there were no risk factors for development of idiopathic macular hole in patients associated with medical problems such as hypertension or with ocular conditions such as glaucoma.

並列關鍵字

Fullthickness macular hole ； Transmission defect ； Vitreoretinal traction ； Tangential traction