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黄斑裂孔是黄斑部视网膜组织的圆形缺损。常见于眼的钝挫伤后、高度近视以及白内障术后等。国内笔者未见报导。现将我院诊治5例(6眼)特发性黄斑裂孔报告如下。临床资料 5例特发性黄斑裂孔病人无眼外伤及手术史,无高度近视及其他眼病。女3例,男2例。年龄47～66岁。双眼1例,单眼4例。主诉视力减退和眼前暗点。黄斑裂孔均为圆形全层裂孔,其大小为1/4～1/2PD。2眼在黄斑裂孔底部有数个黄白色点状沉着物。5眼黄斑裂孔周围有神经上皮层视网膜脱离的灰白色晕轮。仅1眼有玻璃体后脱离。荧光眼底血管造影均表现为典型的窗样缺损。讨论特发性黄斑裂孔是一种主要发生于老年
Macular hole is a circular defect of macular retinal tissue. Common in the eyes after blunt trauma, high myopia and cataract surgery. Domestic author has not been reported. Now my hospital diagnosis and treatment in 5 cases (6 eyes) idiopathic macular hole reported as follows. Clinical data 5 cases of idiopathic macular hole patients without eye trauma and history of surgery, no high myopia and other eye diseases. 3 females, 2 males. Age 47 ~ 66 years old. 1 case of binocular, 4 cases of monocular. Chief complaint of vision loss and immediate dark spots. Macular holes are round full-thickness holes, the size of 1/4 ~ 1 / 2PD. 2 eyes at the bottom of the macular hole with a few yellow-white point-like sediment. 5 eyes around the macular hole neuroepithelial retinal detachment of the gray halo. Only 1 eye with vitreous detachment. Fluorescent fundus angiography showed a typical window-like defects. Discussion Idiopathic macular holes are a type of predilection for aging