小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 中央视力丧失或恶化
- 闪光感
- 外周视野缺损
其他诊断因素
- 飞蚊症
危险因素
- 玻璃体后脱离
- 年龄增长
- 近视
- 既往白内障手术史
- 创伤
- 既往眼科手术史
- 眼内肿瘤
- 玻璃体出血
- 累及对侧眼
- 糖尿病
- 早产儿视网膜病
- 眼部炎症/感染
- 外周视网膜变性
- 解剖学异常
- 与年龄相关的黄斑变性
- 男性使用磷酸二酯酶-5 抑制剂
- 儿童期遗传性和血管性病因
- 儿童期肿瘤
诊断性检查
首要检查
- 视敏度检查
- 裂隙灯检查
- 间接检眼镜检查
需考虑的检查
- 宽视野彩色摄影
- 光学相干断层扫描（患眼）
- B 超检查（患眼）
- 眼眶 CT/MRI
治疗流程
玻璃体后脱离，但无裂孔/撕裂
视网膜裂孔/撕裂，但无视网膜脱离
孔源性 RD
牵拉性 RD
渗出性 RD
出血性 RD
撰稿人
作者
Ferenc Kuhn, MD, PhD
Director of Clinical Research
Helen Keller Foundation for Research and Education
Associate Professor of Ophthalmology
University of Alabama at Birmingham
Birmingham
AL
Consultant and Chief Vitreoretinal Surgeon
Department of Ophthalmology
University of Pécs Medical School
Pécs
Hungary
利益声明
FK declares that he has no competing interests.
鸣谢
Dr Kuhn would like to gratefully acknowledge Dr Robert Morris, a previous contributor to this monograph. RM declares that he has no competing interests.
同行评议者
David Steel, MBBS, FRCOphth
Consultant Ophthalmologist
Sunderland Eye Infirmary
Sunderland
UK
利益声明
DS declares that he has no competing interests.
Michael W. Stewart, MD
Professor and Chairman of Ophthalmology
Mayo Clinic
Jacksonville
FL
利益声明
MWS declares that he has no competing interests.
Ron Adelman, MD, MPH, FACS
Associate Professor of Ophthalmology
Yale University School of Medicine
New Haven
CT
利益声明
RA declares that he has no competing interests.
Scott Fraser, MD, FRCS (Ed), FRCOphth
Consultant Ophthalmologist
Sunderland Eye Infirmary
Sunderland
UK
利益声明
SF declares that he has no competing interests.
鉴别诊断
- 视网膜劈裂症
- 糖尿病视网膜病变
- 视网膜静脉阻塞
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