中心凹旁玻璃体视网膜牵引与慢性黄斑水肿

《中心凹旁玻璃体视网膜牵引与慢性黄斑水肿》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、IntJOphthalmol，Vo1．10，No．12，Dec．2010www．U0．cnTel：02941224517283085628Email：IJO．2000@163．corn·Originalarticle·ChronicmacularedemaassociatedwithextrafovealvitreoretinaltractionAaronTrevino1MichaelRMartinez1AvinoamOphirl，．．DivisionofOphthalmology，Hillel-YaffeMedicalCenter，Tre

2、vinoA，MartinezMR，OphirA．ChronicmacularedemaassociatedHadera，Israelwithextrafovealvitreoretinaltraction．／ntJOpbtbalmol(CuojiYankeTheRuthandBruceRappaportFacultyofMedicine，TheZazhi2010；10(12)：2231-2235Technion，Haifa，IsraelINTRoDUCTIoNCorrespondenceto：AvinoamOphir．DivisionofO

3、phthalmology，inadiffuseand／orcystoidHillel—YaffeMedicalCenter，Hadera，Israe1．ophthalmologyMacularedemamayappearpatternandisrelatedtodiverseetiologiesincluding@hy．health．gov．ilocularvasculardiseases(i．e．diabeticretinopathyandretinalReceived：2010—09·08Accepted：2010—11·16veino

4、cclusion)aswellasnon—vascularcircumstancessuchaspseudophakia，penetratingocularinjuryanduveitis．TheAbstractonsetofmacularedemahasbeenassociatedwiththe·AIM：TodescribeanassociationbetweenextrafoveaIbreakdownoftheblood—retinalbarriercausedbydiversevitreoretinaltractionandchron

5、icmacularedema．eitherdifuse(DiME)orcystoid(CME)，bytheuseofopticalmechanismsliketheexpressionofinflammatorymediators(e．g．，coherencetomography(OCT)．prostaglandins)’and／orvascularendothelialgrowthfactor·METHODS：ChartsandOCTfindingsoftwopatients(VEGF)．Otherdocumentedcausesofma

6、cularedemaarewithpersistentDiMEorpersistentDiMEaccompaniedbythoseassociatedwithtractionalforcessuchasvitreofovealCME．bothassociatedwithextrafoyeaIvitreoustractiontI_acti0n【]aswellasvitI_eoustractionmembI_anesthataremembraneswereanalyzed．Excludedwereeyesthatlocatedextrafove

7、allv【415]．eitherretinalorattheopticnerveeitherhadanothervitre0retinOpathVthatcoulda仟ectthehead(ONH；i．e．vitreopapillarytraction)．Epiretinalanalysis，hadundergoneparsplanavitrectomyorthatmembranes(ERM)havealsobeenfoundtobeassociatedhadbeentreatedbyintravitrealmedications．Anag

8、e—withmacularedema[．matchednormalcontrolgroupforOCT(n=12)allowedPrompttreatmentofmaculare