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Clinical Observation of Macular in Pathological Myopia |
The Second People’s Hospital of Zhengzhou City, Zhengzhou 450006,China |
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Abstract Objective:To observe the charateristics of pathological myopia image , explore the macular morphology change.Method:67 cases( 90 eyes) with pathologic myopia maculopathy were examined by optical coherence tomography( OCT) ,fundus fluorescein angiography( FFA). Indocyanine green angiography( ICGA) was done if need be.Result:The fundus changes of the pathologic myopia were divided into 8 types:(1)pathologic myopia with lacquer
cracks,18 eyes in the 12 cases(20%);(2)pathologic myopia with macular epiretinal membrane,9 eyes in the 6 cases(10%);(3)pathologic myopia with fuchs spots,8 eyes in the 5 cases(8.9%);(4)pathologic myopia with macular hemorrhage,28 eyes in the 22 cases(31.1%);(5)pathologic myopia with macular atrophy,9 eyes in the 14 cases(15.6%);(6)pathologic myopia with macular retinoschisis,6 eyes in the 6 cases(6.7%);(7)pathologic myopia with macular hole,4 eyes in the 4 cases(4.4%);(8)pathologic myopia with retina detachment,3 eyes in the 3 cases(2.7%).Conclusion:OCT can observe microstructure of the macular morphology, but FFA and ICGA is quite useful in identifying the nature of disease,evaluating the progonosis and guiding the treatment.
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