天津医药 ›› 2017, Vol. 45 ›› Issue (6): 657-659.doi: 10.11958/20170441

• 综述 • 上一篇    下一篇

高度近视的组织学改变研究进展

李文博,胡博杰,李筱荣△   

  1. 天津医科大学眼科医院(邮编 300384)
  • 收稿日期:2017-04-10 修回日期:2017-04-17 出版日期:2017-06-15 发布日期:2017-07-05
  • 通讯作者: △通讯作者 E-mail: lixiaorong@tmu.edu.cn E-mail:wenboli80@163.com
  • 作者简介:李文博(1980),女,博士,主治医师,主要从事玻璃体与视网膜疾病的临床与基础研究
  • 基金资助:
    国家自然科学基金资助项目(81400425)

Recent advances in histological changes of high myopia

LI Wen-bo, HU Bo-jie, LI Xiao-rong△   

  1. Tianjin Medical University Eye Hospital, Tianjin 300384, China
  • Received:2017-04-10 Revised:2017-04-17 Published:2017-06-15 Online:2017-07-05
  • Contact: △Corresponding Author E-mail: lixiaorong@tmu.edu.cn E-mail:wenboli80@163.com

摘要: 高度近视的患病人群日益增加,越来越受关注。高度近视的并发症如后巩膜葡萄肿、脉络膜和视网膜的 萎缩、脉络膜新生血管、视神经的损伤、黄斑劈裂和黄斑裂孔等,均可使视功能严重丧失。高度近视的组织学变化是 这些病变发生发展的主要因素。随着生物影像技术的进展,如频域光学断层扫描和深度增强成像技术的引入,使得 在活体下可以获得更加详尽的高度近视组织学数据,并发现一些新的组织学特征,从而更新了发病机制的部分观 点。本文对包括巩膜、脉络膜(Bruch’s 膜)、视神经、玻璃体和视网膜等方面的进展进行综述,以期更新对高度近视 组织学改变的认识。

关键词: 近视, 巩膜, 脉络膜, 视盘, 玻璃体, 视网膜, 综述, 高度近视, Bruch’s 膜

Abstract: The incidence of high myopia has increased yearly, which has been an area of focus for investigation. The complications of high myopia are contributing factors to blindness,such as posterior staphyloma, chorio- retinal atrophy, choroidal neovascularization, optic nerve head and macular defects. The study of histological changes helps clarify the mechanism. With the development of modern technology such as spectral- domain optical coherence tomography and enhanced depth imaging-technique, histological changes in high myopia can be measured accurately. The purpose of this review is to provide an update on various pathologic changes, including in sclera, Choroid/Bruch’s membrane, optic nerve, vitreous and retina.

Key words: myopia, sclera, choroid, optic disk, vitreous body, retina, review, high myopia, Bruch’s membrane