【摘要】：目的探討高度近視眼后鞏膜形態(tài)、黃斑輪廓形態(tài)類型,并比較其在單純高度近視和病理性近視分布情況。方法收集南昌大學(xué)第三附屬醫(yī)院90例163高度近視眼,利用DRI-OCT Atlantis、眼底照相檢測相關(guān)數(shù)據(jù),分析后鞏膜形態(tài)、黃斑輪廓形態(tài)類別和分布情況;按META-PM標(biāo)準(zhǔn)分成單純高度近視眼組和病理性近視眼組,對比兩組不同后鞏膜形態(tài)、黃斑輪廓形態(tài)分布概況。結(jié)果 163眼高度近視眼,Ⅰ型后鞏膜形態(tài)44眼(27.0%)、Ⅱ型后鞏膜形態(tài)85眼(52.1%)、Ⅲ型后鞏膜形態(tài)15眼(9.2%)、Ⅸ型后鞏膜形態(tài)15眼(9.2%)、Ⅶ型4眼(2.5%)。黃斑水平輪廓形態(tài)153眼中Ⅰ型31眼(占20.3%)、Ⅱ型23眼(占15.0%)、Ⅲ型87眼(占56.9%)、Ⅳ型12眼(占7.8%);黃斑垂直輪廓形態(tài)149眼中Ⅰ型104眼(占69.8%)、Ⅲ型28眼(占18.8%)、Ⅳ型17眼(占11.4%)。綜合水平和垂直分布160眼中:Ⅲ+Ⅰ型62眼(占38.8%);Ⅰ+Ⅰ型26眼(占16.3%);Ⅲ+Ⅲ型22眼(占13.8%);Ⅱ+Ⅰ型20眼(占12.5%);Ⅳ+Ⅳ型10眼(占6.3%);其余7種類型共20眼(占12.5%)。不同黃斑水平輪廓形態(tài)在單純高度近視和病理性近視分布眼數(shù),差異有統(tǒng)計學(xué)意義(χ2=12.67;P0.01)。結(jié)論單純高度近視主要以Ⅱ型、Ⅰ型后鞏膜形態(tài)為主,黃斑水平輪廓形態(tài)主要以Ⅲ型為主,黃斑垂直輪廓形態(tài)主要以Ⅰ型為主,綜合以水平Ⅲ型+垂直Ⅰ型為主。Ⅸ型后鞏膜形態(tài)、Ⅳ型不規(guī)則型黃斑水平輪廓多見于病理性近視。
[Abstract]:Objective to investigate the shape of posterior sclera and macular contour in high myopia, and to compare the distribution between simple high myopia and pathological myopia. Methods 90 cases of 163-high myopia in the third affiliated Hospital of Nanchang University were collected and the data were detected by DRI-OCT Atlantis, fundus photography to analyze the shape of posterior sclera and the type and distribution of macular contour. According to META-PM criteria, the patients were divided into simple high myopia group and pathological myopia group. The distribution of posterior sclera and macular contour was compared between the two groups. Results of 163 eyes with high myopia, 44 eyes (27.0%) were in type 鈪，

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