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目的 描述高度近视眼视盘周围局限性视网膜脱离 ,分析该眼底病变发生的原因。方法 OCT检查确诊视盘周围局限性视网膜脱离 7例 1 0只眼 ,对其FA/ICGA和mfERG的特征进行分析。结果 视盘周围视网膜脱离不是任何患者就诊检查的原因 ,视力减退或矫正视力低的原因是视网膜脉络膜萎缩、CNV、黄斑前膜形成和弱视。所有患者的视网膜脱离均局限于后巩膜葡萄肿区域 ,脱离视网膜的长度比相应处附着于巩膜的RPE和内层脉络膜短。结论 视盘周围视网膜脱离很可能是后巩膜葡萄肿的一个良性并发症。
Objective To describe the limitations of retinal detachment around the optic disc in high myopia and to analyze the causes of the retinal lesions. Methods OCT was used to diagnose the localized retinal detachment around the optic disc in 10 cases. The characteristics of FA / ICGA and mfERG were analyzed. Results Peri-retinal detachment was not the cause of any patient visit, and the causes of hypoplasia or corrected visual acuity were retinal choroidal atrophy, CNV, premacular membrane formation and amblyopia. All patients had retinal detachments confined to the posterior scleral staphyloma region, and the length of retinal detachment was shorter than that of the RPE and the inner choroid attached to the sclera. Conclusion Optic disc retinal detachment is likely to be a benign complication of posterior staphyloma.