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1
題名:CLINICAL AND OCT CHARACTERISTICS OF PERIPAPILLARY DETACHMENT IN PATHOLOGIC MYOPIA     (18點)
病理性近視繼發視盤周圍網膜剝離之臨床及光學共軛掃描儀下特徵
著者:Tien-Ying Fan Chiang(范姜恬盈) ;Shu-I Yeh(葉淑飴) ;Wei-Chun Chan(詹維鈞) ;Lee-Jen Chen(陳立仁)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:High myopia ; PDPM ; Optical Coherence Tomography
刊名:中華民國眼科醫學會雜誌
卷期:49卷2期(2010.6)
頁碼:174-182
語言:英語
摘要:
目的:研究病理性近視繼發視盤周圍網膜剝離在 臨床與光學共較掃描儀下的特徵。 方法:共收集自2006 年1 月至2009 年2 月間病 理性近視繼發視盤周圍網膜剝離的案例,將每位病人 的性別、年齡、最佳矯正視力、屈光度、眼軸長、眼 底檢查及光學共輯掃描儀結果做資料分析。 結果:共計60 位病人(90 個眼睛)列入資料分 析,包括39 位女性及21 位男性,平均年齡為45.9 歲,平均最佳矯正視力為0.77 '平均屈光度為 -1 1.1 4D' 平均眼軸長為28.13mm '其中39 個眼睛在 間接眼底檢查下可發現典型的病理性近視繼發視盤 周圍網膜剝離特徵,在視盤周圍有一黃橘色、局部、 邊界清楚的病娃,其中在13 個眼睛發現有視盤小凹 狀構造,佔14.4% '此構造連接玻璃體與視網膜色素 層下方的空腔。 結論:利用光學共輾掃描儀研究發現並非所有病 理性近視繼發視盤周圍網膜剝離的眼睛皆顯示典型 的視盤周圍橘黃色病娃,雖然目前病理性近視繼發視 盤周圍網膜剝離的病理機制仍不清楚,但我們認為視 盤小凹狀構造對病理性近視繼發視盤周圍網膜剝離 的形成扮演一定的角色。
Purpose: To investigate the clinical and OCT characteristics of peripapillary detachment in pathologic myopia (PDPM). Methods: Medical records of patients with PDPM diagnosed from January 2006 to February 2009 were reviewed. Data analysis included sex, age, best-corrected visual acuity (BCVA), refractive error, axial length, fundoscopic and OCT findings. Results: 60 patients (90 eyes) were analyzed. There were 39 females and 21 males in this study. The mean age was 45.9 :f: 10.8 years and the mean BCVA in log MAR was 0.77 :!:: 0.36. The mean refractive error in spherical equivalent (SE) was the -11.14:!:: 4.040 and mean axiallength (AL) was 28.13 :!:: 1.69 mm. Indirect ophthalmoscopy revealed the presence of a typical yellow-orange, localized, well-circumscribed peripapillary lesion in 39 (43.3%) eyes with PDPM. Communication between the vitreous cavity and sub-RPE space through pit-like structure was demonstrated in 13 of 90 eyes (14.4%). Conclusion: The presence of a typical yellow-orange peripapillary retinal lesion might not be an evident fundoscopic feature for all eyes with demonstrable PDPM by optical coherence tomography. Although its pathogenesis and pathologic significance require further investigation, the peripapillary pit-like structure may play a role in the formation of PDPM.


    

本卷期目次
中華民國眼科醫學會雜誌 49卷2期 (2010.6)
誘導多功能幹細胞在網膜退化性疾病之應用/ 方怡謨
黃斑圓孔/ 游建章
氧化壓力(oxidative stress)與糖尿病視網膜病變/ 王律鈞
息肉狀脈絡朕血管病變/ 楊長豪
台北市低視能病患健康檢查及健康促進生活型態調查/ 蔡明足吳宗燕翁林仲蔡景耀
EARLY LASER TREATMENT FOR ADVANCED RETINOPATHY OF PREMATURITY/ Chia-Min WuJia-Kang Wang
QUANTIFICATION OF RETINAL NERVE FIBER LAYER THICKNESS IN HIGHL Y MYOPIC EYES USING OPTICAL COHERENCE TOMOGRAPHY/ Chi-Hsin HsuYung-Feng Shih
CLINICAL AND OCT CHARACTERISTICS OF PERIPAPILLARY DETACHMENT IN PATHOLOGIC MYOPIA/ Tien-Ying Fan ChiangShu-I YehWei-Chun ChanLee-Jen Chen
台灣研究植入多焦點人工水晶體在生活品質及視覺功能之成果/ 謝靜茹何一滔林克忠尤之浩
LONG-TERM FOLLOW-UP OF CONGENITALANIRIDIA ──A CASE REPORT/ Yu-Hung GuoAn-Fei LiYu-Chi LiuShui-Mei Lee
ORBITAL EMPHYSEMA──A CASE REPORT/ Wei-Ting LiuChieh-Chih TsaiPei-Yu LinShu-Ching KaoShui-Mei Lee
LEUKEMIC INFILTRATION OF THE OPTIC NERVE WITH INTRAOCULAR EXTENSION IN RELAPSING ACUTE LYMPHOBLASTIC LEUKEMIA/ Yao-Chung ChangChun-Yuan Wang
IMMUNOHISTOCHEMICAL STUDIES OF CONJUNCTIVAL MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMA/ Chia-Hung LiJiann-Tomg ChenHemg-Sheng LeeJy-Been Liang
UPPER EYELID COLOBOMAASSOCIATED WITH CONGENITAL HEART DISEASE──A RARE CASE REPORT/ Hsiu-Fen LinJui-Pin LaiWu-Ping LoHuan-Chen HsuHui YangChing-Liang Kuo
CORNELIA DE LANGE SYNDROME──A CASE REPORT/ Chia-Ming HsuChiu-Tung ChuangPao-Ching ChiuTsun-Tien WuShwu-Jiuan Shen
A RARE CASE OF ORBITAL ROSAI-DORFMAN DISEASE, WITH INTRACRANIAL EXTENSION/ Pei-Fen HsuSui-Chia SungJack Yu-Shin LinChien-Liang Wu
IRIS CYST WITH TREATMENT OF Nd:YAG LASER IRIDOCYSTOTOMY/ Chan-Wei NienHung-Yu LinChing-Yang LinShih-Chun Chao
DIFFUSE IRIS MALIGNANT MELANOMA WITH SECONDARY GLAUCOMA──A CASE REPORT/ Pei-Yuan SuJehn-Yu HuangChi-Huang Hsiao
KIMURA'S DISEASE OF ORBIT AND ELBOW IN AN ASIAN CHILD──A CASE REPORT/ Chin-yun ChenCheng-Hsien ChangShyh-Shih Chiou
UNILATERAL PANUVEITIS AND OCCLUSIVE RETINAL ARTERITIS IN A PATIENT WITH SYSTEMIC SCLEROSIS/ Chih-Jen LinYo-Chen ChangKai-Chun ChengWen-Chuan Wu
REFRACTORY ORBITAL PSEUDOTUMOR TREATED SUCCESSFULLY BY POSTERIORLY INTRAORBITAL INJECTION OF TRIAMCINOLONE ACETONIDE──A CASE REPORT/ Hsiang-Wen ChienSzu-Yuan LinI-hua WangJieh-Ren Jou
以雙眼弓漿蟲視網膜目良炎為起始表現的後天免疫缺乏症候群──病例報告/ 何采璇莊秋同龔雅欣吳宗典許淑娟
 
   
 
   

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