會(huì)計(jì)學(xué)1眼底病黃斑裂孔眼底病黃斑裂孔 1黃斑裂孔的定義黃斑裂孔的定義及分類及分類發(fā)病因素及機(jī)制發(fā)病因素及機(jī)制 臨床表現(xiàn)臨床表現(xiàn)黃斑裂孔的分期黃斑裂孔的分期 4123我們從以下幾個(gè)方面來(lái)學(xué)習(xí)我們從以下幾個(gè)方面來(lái)學(xué)習(xí)LoGyAnGLoGyAnG第1頁(yè)/共45頁(yè)診斷要點(diǎn)診斷要點(diǎn)鑒別診斷鑒別診斷 治療及預(yù)后治療及預(yù)后預(yù)防措施預(yù)防措施8567LoGyAnGLoGyAnG第2頁(yè)/共45頁(yè)心視力的明顯下降、視物色暗、變形等。LoGyAnGLoGyAnG第3頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第4頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第5頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第6頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第7頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第8頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第9頁(yè)/共45頁(yè)到半透明的蓋膜。LoGyAnGLoGyAnG第10頁(yè)/共45頁(yè)態(tài)。LoGyAnGLoGyAnG第11頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第12頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第13頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第14頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第15頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第16頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第17頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第18頁(yè)/共45頁(yè)LoGyAnGLoGyAnG1.黃斑前膜合并假性黃斑裂孔：在視網(wǎng)膜表面存黃斑前膜合并假性黃斑裂孔：在視網(wǎng)膜表面存在視網(wǎng)膜前膜形成假孔。在視網(wǎng)膜前膜形成假孔。2.日食性視網(wǎng)膜病變：因凝視太陽(yáng)兒引起，中心日食性視網(wǎng)膜病變：因凝視太陽(yáng)兒引起，中心凹中央有小、圓、紅或黃色損害，周圍有清晰的凹中央有小、圓、紅或黃色損害，周圍有清晰的灰色色素包圍。灰色色素包圍。3.視網(wǎng)膜內(nèi)囊腫：慢性視網(wǎng)膜內(nèi)囊腫：慢性CME伴中心囊腔突起。伴中心囊腔突起。第19頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第20頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第21頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第22頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第23頁(yè)/共45頁(yè)期裂孔根據(jù)患者情況合理選擇手術(shù)。（3）絕大多數(shù)特發(fā)性和外傷性黃斑裂孔發(fā)生視網(wǎng)膜脫離的可能較小，高度近視眼黃斑裂孔容易發(fā)生視網(wǎng)膜脫離需要行玻切+氣體/硅油填充術(shù)。LoGyAnGLoGyAnG第24頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第25頁(yè)/共45頁(yè)第26頁(yè)/共45頁(yè)第27頁(yè)/共45頁(yè)第28頁(yè)/共45頁(yè)第29頁(yè)/共45頁(yè)第30頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第31頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第32頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第33頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第34頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第35頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第36頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第37頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第38頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第39頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第40頁(yè)/共45頁(yè)LoGyAnG第41頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第42頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第43頁(yè)/共45頁(yè)LoGyAnGLoGyAnG第44頁(yè)/共45頁(yè)