鱼雷黄斑病变的现状与进展

Q4 Medicine

中华眼底病杂志 Pub Date : 2020-02-25 DOI:10.3760/CMA.J.ISSN.1005-1015.2020.02.018

Jieliang Shi

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引用次数: 0

摘要

鱼雷性黄斑病变是一种罕见的RPE先天性病变，位于黄斑的颞部和水平中缝。病变呈鱼雷状，其鱼雷状尖端指向中央凹。作为偶然发现，它通常只影响一只眼睛，对中心视力没有损害。根据OCT的特点，可分为2种类型：Ⅰ型，视网膜外结构衰减，无视网膜外空泡；Ⅱ型，既有视网膜外结构衰减，又有视网膜外空泡。RPE层色素变化类似于鱼雷性黄斑病变的疾病包括先天性RPE肥大、Gardner综合征中的RPE病变等。将该疾病与其他疾病区分开来的要点是其独特的位置和形状。大多数鱼雷性黄斑病变病情稳定，不需要特殊治疗，但该疾病可并发神经感觉性视网膜脱离、脉络膜新生血管等，必要时需要对症治疗。关键词：视网膜色素上皮/损伤；黄斑变性；评审；鱼雷黄斑病变

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Current status and progress of torpedo maculopathy

Torpedo maculopathy is a rare, congenital lesion of RPE, which locates temporal to the macula and along the horizontal raphe. The lesion is torpedo-shaped with its torpedo-like tip pointing towards the fovea. As an incidental finding, it often affects only one eye with no damage to central visual acuity. According to its characteristics on OCT, it is divided into 2 types: type Ⅰ , attenuation of outer retinal structures without outer retinal cavitation; type Ⅱ, those with both attenuation of outer retinal structures and outer retinal cavitation. Diseases with pigment changes in the RPE layer similar to torpedo maculopathy include congenital hypertrophy of the RPE, RPE lesions in Gardner syndrome, etc. The main point to distinguish the disease from other diseases is its unique location and shape. Most of the torpedo maculopathy lesions are stable and do not require special treatment, but the disease can be complicated by neurosensory retinal detachment, choroidal neovascularization and so on, and symptomatic treatment is needed if necessary. Key words: Retinal pigment epithelium/injuries; Macular degeneration; Review; Torpedo maculopathy

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来源期刊

中华眼底病杂志 Medicine-Ophthalmology

CiteScore

0.40

自引率

0.00%

发文量

5383

期刊介绍： Chinese Journal of Ocular Fundus Diseases is the only scientific journal in my country that focuses on reporting fundus diseases. Its purpose is to combine clinical and basic research, and to give equal importance to improvement and popularization. It comprehensively reflects the leading clinical and basic research results of fundus disease disciplines in my country; cultivates professional talents in fundus disease, promotes the development of fundus disease disciplines in my country; and promotes academic exchanges on fundus disease at home and abroad. The coverage includes clinical and basic research results of posterior segment diseases such as retina, uveal tract, vitreous body, visual pathway, and internal eye diseases related to systemic diseases. The readers are medical workers and researchers related to clinical and basic research of fundus diseases. According to the journal retrieval report of the Chinese Institute of Scientific and Technological Information, the comprehensive ranking impact factor and total citation frequency of the Chinese Journal of Ocular Fundus Diseases have been among the best in the disciplines of ophthalmology, otolaryngology, and ophthalmology in my country for many years. The papers published have been included in many important databases at home and abroad, such as Scopus, Peking University Core, and China Science Citation Database (CSCD).