臨床眼科75巻13号

2021年12月発行

連載 国際スタンダードを理解しよう！　近視診療の最前線・15

—近視そのものが失明を起こす—病的近視—近視性黄斑症全般—OCTによる分類

著者： 方雨新¹ 大野京子¹

所属機関： ¹東京医科歯科大学大学院医歯学総合研究科眼科学分野

ページ範囲：P.1641 - P.1647

◆進行性で継続的な脈絡膜の菲薄化は，紋理眼底，乳頭周囲びまん性網脈絡膜萎縮そして黄斑部びまん性網脈絡膜萎縮まであり，近視性黄斑症の発症において重要である。

◆黄斑部びまん性萎縮から限局性萎縮への進行には，ブルッフ膜に穴が発生するなど，脈絡膜のさらなる菲薄化以外の要因が重要になる可能性がある。

◆OCTは，近視性黄斑症を評価・管理するうえで重要である。

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