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作者研究了126例特发性黄斑裂孔患者的130眼。对最初检查无黄斑裂孔的49只对侧眼进行随访。患者中,男性29例,女性97例。平均年龄66终(43～83岁)。为探讨玻璃体情况和对侧眼的预后因素,随访了原检查无黄斑裂孔的49只对侧眼,至少1年以上(平均47个月,最长的18年)。每个患者作间接眼底镜,眼底彩色照相,用El Bayadi-Kajiura前置镜作活体显微镜检查。除2例外所有患者均作了有助于黄斑裂孔诊断的荧光血管造影术。 180只黄斑裂孔患眼最初检查,79眼(61％)无玻璃体后部脱离。10眼(8％)玻璃体后部部分脱离,41眼(32％)玻璃体后部呈完全脱离。无玻璃体后部脱离的79眼中有55眼(70％),有玻璃体后部脱离的51眼中有23眼(45％),检查时发现盖(Opercpla),两者差异显著(P<0.05)。49只对侧眼检查发现,28眼无玻璃体后部脱离,19
The authors studied 130 eyes of 126 patients with idiopathic macular holes. Forty-nine contralateral eyes with no macular holes initially examined were followed up. Among the patients, 29 were males and 97 were females. The average age of 66 final (43 to 83 years old). To investigate vitreous and contralateral eye prognostic factors, 49 contralateral eyes without macular holes were followed up for at least 1 year (mean, 47 months, longest, 18 years). Each patient underwent indirect ophthalmoscopy and fundus color photography using an El Bayadi-Kajiura front-endoscope for in vivo microscopy. Fluorescein angiography was performed in all patients except 2 for diagnosis of macular hole. Of 180 eyes with macular holes initially examined, 79 (61%) had no posterior vitreous detachment. Posterior vitreous partial detachment occurred in 10 eyes (8%), and completely posterior posterior vitreous in 41 eyes (32%). There were 55 eyes (70%) of 79 eyes without posterior vitreous detachment, 23 eyes (45%) of 51 eyes posterior posterior vitreous detachment and Opercpla. There was significant difference (P <0.05) between the two eyes. 49 contralateral eye examination found that 28 eyes without posterior vitreous detachment, 19