視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件

視網(wǎng)膜神經(jīng)上皮脫離合并劈裂北京同仁眼科中心王光璐視網(wǎng)膜神經(jīng)上皮脫離1視下網(wǎng)膜神經(jīng)上皮脫離合并劈裂先天性視盤小凹黃斑病變·牽拉性視網(wǎng)膜脫離分類先天性視網(wǎng)膜劈裂繼發(fā)網(wǎng)脫方法·裂隙燈加前置鏡眼底立體照相視下2光學相干斷層成像顯示黃斑斷面圖像非FFA,CGA所能取代軸向分辨率高非接觸非侵入性檢查紅外線掃描無閃光感,易為患者所接受汁·瞳孔正常大小時,也能檢查(散瞳最好)光學相干斷層成像3視下網(wǎng)膜神經(jīng)上皮脫離合并劈裂·OCT檢查發(fā)現(xiàn),此種病變可見于多種先天和后天眼底疾病舉例如下視下4例1·女,49歲,右眼近視左眼近期視物發(fā)暗視力:右0.05矯正0.:8(-14D,左眼0.6矯正1.0(+1.0c180)檢查:右眼底豹紋狀左黃斑部扁平脫離約1PD印象:右高度近視,左眼中漿病例15視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件6視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件7視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件8視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件9視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件10視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件11視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件12視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件13視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件14視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件15視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件16視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件17視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件18視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件19視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件20視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件21視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件22視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件23視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件24視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件25視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件26視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件27視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件28視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件29視網(wǎng)膜神經(jīng)上皮脫離合并劈裂北京同仁眼科中心王光璐視網(wǎng)膜神經(jīng)上皮脫離30視下網(wǎng)膜神經(jīng)上皮脫離合并劈裂先天性視盤小凹黃斑病變·牽拉性視網(wǎng)膜脫離分類先天性視網(wǎng)膜劈裂繼發(fā)網(wǎng)脫方法·裂隙燈加前置鏡眼底立體照相視下31光學相干斷層成像顯示黃斑斷面圖像非FFA,CGA所能取代軸向分辨率高非接觸非侵入性檢查紅外線掃描無閃光感,易為患者所接受汁·瞳孔正常大小時,也能檢查(散瞳最好)光學相干斷層成像32視下網(wǎng)膜神經(jīng)上皮脫離合并劈裂·OCT檢查發(fā)現(xiàn),此種病變可見于多種先天和后天眼底疾病舉例如下視下33例1·女,49歲,右眼近視左眼近期視物發(fā)暗視力:右0.05矯正0.:8(-14D,左眼0.6矯正1.0(+1.0c180)檢查:右眼底豹紋狀左黃斑部扁平脫離約1PD印象:右高度近視,左眼中漿病例134視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件35視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件36視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件37視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件38視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件39視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件40視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件41視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件42視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件43視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件44視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件45視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件46視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件47視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件48視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件49視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件50視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件51視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件52視網(wǎng)膜神經(jīng)上皮脫離合并劈裂課件53視網(wǎng)膜神經(jīng)上皮脫離合并劈