青少年儿童黄斑前膜与成人黄斑前膜的比较_Chinese Journal of Ocular Fundus Diseases

Authors：

田恬 ,  赵培泉

200092 上海交通大学医学院附属新华医院眼科;

Corresponding author：

赵培泉, Email: zhaopeiquan@126.com

Keywords：

黄斑; 膜; 年龄因素; 综述

DOI：

10.3760/cma.j.issn.1005-1015.2015.05.031

Video：

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黄斑前膜(MEM)多发生在50岁以上人群；青少年儿童MEM较为罕见。MEM根据病因分为特发性MEM(IMEM)和继发性MEM(SMEM)。成人MEM以IMEM多见；青少年儿童MEM以SMEM多见。在玻璃纸样反光(CMR)型和黄斑前纤维增生(PMF)型MEM中, 青少年儿童MEM中PMF型较CMR型多见。光相干断层扫描发现青少年儿童前膜组织与黄斑分离的比例低于成人。目前, 对于青少年儿童和成人MEM治疗尚无统一标准, 对于明显视力下降、严重视物变形者多采用玻璃体切割手术, 手术后多数患眼视力提高。手术后MEM复发原因成人多为前膜组织剥除不完全, 而青少年儿童MEM的复发机制尚无文献报道。进一步探索青少年儿童EME复发机制, 改进治疗方式是今后努力的方向。

Citation： 田恬, 赵培泉. 青少年儿童黄斑前膜与成人黄斑前膜的比较. Chinese Journal of Ocular Fundus Diseases, 2015, 31(5): 512-515. doi: 10.3760/cma.j.issn.1005-1015.2015.05.031 Copy

1.	Bu SC, Kuijer R, Li XR, et al.Idiopathic epiretinal membrane[J]. Retina, 2014, 34(12):2317-2335.
2.	Khaja HA, McCannel CA, Diehl NN, et al.Incidence and clinical characteristics of epiretinal membranes in children[J]. Arch Ophthalmol, 2008, 126(5):632-636.
3.	Banach MJ, Hassan TS, Cox MS, et al.Clinical course and surgical treatment of macular epiretinal membranes in young subjects[J]. Ophthalmology, 2001, 108(1): 23-26.
4.	Aung KZ, Makeyeva G, Adams MK, et al.The prevalence and risk factors of epiretinal membranes: the Melbourne Collaborative Cohort Study[J].Retina, 2013, 33(5): 1026-1034.
5.	Ng CH, Cheung N, Wang JJ, et al.Prevalence and risk factors for epiretinal membranes in a multi-ethnic United States population[J]. Ophthalmology, 2011, 118(4):694-699.
6.	You Q, Xu L, Jonas JB.Prevalence and associations of epiretinal membranes in adult Chinese: the Beijing eye study[J]. Eye (Lond), 2008, 22(7):874-879.
7.	Zhu XF, Peng JJ, Zou HD, et al.Prevalence and risk factors of idiopathic epiretinal membranes in Beixinjing blocks, Shanghai, China[J/OL]. PLoS One, 2012, 7(12):51445[2012-12-10].http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519558/.
8.	Ye H, Zhang Q, Liu X, et al.Prevalence and associations of epiretinal membrane in an elderly urban Chinese population in China: the Jiangning Eye Study[J/OL]. Br J Ophthalmol, 2015[2015-06-11].http://bjo.bmj.com/content/early/2015/06/11/bjophthalmol-2015-307050.full.[Epub ahead of print].
9.	徐雁冰, 孙秋香, 卓旭英, 等.儿童黄斑部视网膜前膜三例[J].中华眼底病杂志, 2002, 18(3):79-80.
10.	董方田, 戴荣平, 霍冬梅, 等.儿童黄斑前膜手术疗效分析[J].中华眼科杂志, 2005, 41(1):56-58.
11.	Rothman AL, Folgar FA, Tong AY, et al. Spectral domain optical coherence tomography characterization of pediatric epiretinal membranes[J]. Retina, 2014, 34(7):1323-1334.
12.	Kampik A.Pathology of epiretinal membrane, idiopathic macular hole, and vitreomacular traction syndrome[J]. Retina, 2012, 32 Suppl 2:S194-198.
13.	Wise GN.Congenital preretinal macular fibrosis[J]. Am J Ophthalmol, 1975, 79(3): 363-365.
14.	Barr CC, Michels RG.Idiopathic nonvascularized epiretinal membranes in young patients: report of six cases[J]. Ann Ophthalmol, 1982, 14(4):335-341.
15.	Ferrone PJ, Chaudhary KM.Macular epiretinal membrane peeling treatment outcomes in young children[J]. Retina, 2012, 32(3):530-536.
16.	Benhamou N, Massin P, Spolaore R, et al.Surgical management of epiretinal membrane in young patients[J]. Am J Ophthalmol, 2002, 133(3):358-364.
17.	Wang LC, Hung KH, Hsu CC, et al.Assessment of retinal pigment epithelial cells in epiretinal membrane formation[J]. J Chin Med Assoc, 2015, 78(6):370-373.
18.	Fraser-Bell S, Guzowski M, Rochtchina E, et al.Five-year cumulative incidence and progression of epiretinal membranes: the Blue Mountains Eye Study[J]. Ophthalmology, 2003, 110(1):34-40.
19.	Mitchell P, Smith W, Chey T, et al.Prevalence and associations of epiretinal membranes. The Blue Mountains Eye Study, Australia[J]. Ophthalmology, 1997, 104(6): 1033-1040.
20.	Fraser-Bell S, Ying-Lai M, Klein R, et al.Prevalence and associations of epiretinal membranes in latinos: the Los Angeles Latino Eye Study[J]. Invest Ophthalmol Vis Sci, 2004, 45(6):1732-1736.
21.	Smiddy WE, Michels RG, Gilbert HD, et al.Clinicopathologic study of idiopathic macular pucker in children and young adults[J]. Retina, 1992, 12(3):232-236.
22.	Green WR, Gass JD.Senile disciform degeneration of the macula. Retinal arterialization of the fibrous plaque demonstrated clinically and histopathologically[J]. Arch Ophthalmol, 1971, 86(5):487-494.
23.	Kim JH, Kim YM, Chung EJ, et al.Structural and functional predictors of visual outcome of epiretinal membrane surgery[J].Am J Ophthalmol, 2012, 153(1):103-110.
24.	Shiono A, Kogo J, Klose G, et al.Photoreceptor outer segment length: a prognostic factor for idiopathic epiretinal membrane surgery[J]. Ophthalmology, 2013, 120(4): 788-794.
25.	Shimozono M, Oishi A, Hata M, et al.The significance of cone outer segment tips as a prognostic factor in epiretinal membrane surgery[J].Am J Ophthalmol, 2012, 153(4):698-704.
26.	Ophir A, Martinez MR.Epiretinal membranes and incomplete posterior vitreous detachment in diabetic macular edema, detected by spectral-domain optical coherence tomography[J]. Invest Ophthalmol Vis Sci, 2011, 52(9):6414-6420.
27.	Suh MH, Seo JM, Park KH, et al.Associations between macular findings by optical coherence tomography and visual outcomes after epiretinal membrane removal[J]. Am J Ophthalmol, 2009, 147(3):473-480.
28.	Kim JS, Chhablani J, Chan CK, et al.Retinal adherence and fibrillary surface changes correlate with surgical difficulty of epiretinal membrane removal[J]. Am J Ophthalmol, 2012, 153(4):692-697.
29.	Kolomeyer AM, Schwartz DM.Spontaneous epiretinal membrane separation[J]. Oman J Ophthalmol, 2013, 6(1):56-57.
30.	Mansour AM, Mansour HA, Arevalo JF.Spontaneous release of epiretinal membrane in a young weight-lifting athlete by presumed central rupture and centrifugal pull[J].Clin Ophthalmol, 2014, 8:2243-2250.
31.	Yang HS, Hong JW, Kim YJ, et al.Characteristics of spontaneous idiopathic epiretinal membrane separation in spectral domain optical coherence tomography[J]. Retina, 2014, 34(10):2079-2087.
32.	Kang KT, Kim KS, Kim YC.Surgical results of idiopathic and secondary epiretinal membrane[J]. Int Ophthalmol, 2014, 34(6):1227-1232.

1. Bu SC, Kuijer R, Li XR, et al.Idiopathic epiretinal membrane[J]. Retina, 2014, 34(12):2317-2335.
2. Khaja HA, McCannel CA, Diehl NN, et al.Incidence and clinical characteristics of epiretinal membranes in children[J]. Arch Ophthalmol, 2008, 126(5):632-636.
3. Banach MJ, Hassan TS, Cox MS, et al.Clinical course and surgical treatment of macular epiretinal membranes in young subjects[J]. Ophthalmology, 2001, 108(1): 23-26.
4. Aung KZ, Makeyeva G, Adams MK, et al.The prevalence and risk factors of epiretinal membranes: the Melbourne Collaborative Cohort Study[J].Retina, 2013, 33(5): 1026-1034.
5. Ng CH, Cheung N, Wang JJ, et al.Prevalence and risk factors for epiretinal membranes in a multi-ethnic United States population[J]. Ophthalmology, 2011, 118(4):694-699.
6. You Q, Xu L, Jonas JB.Prevalence and associations of epiretinal membranes in adult Chinese: the Beijing eye study[J]. Eye (Lond), 2008, 22(7):874-879.
7. Zhu XF, Peng JJ, Zou HD, et al.Prevalence and risk factors of idiopathic epiretinal membranes in Beixinjing blocks, Shanghai, China[J/OL]. PLoS One, 2012, 7(12):51445[2012-12-10].http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519558/.
8. Ye H, Zhang Q, Liu X, et al.Prevalence and associations of epiretinal membrane in an elderly urban Chinese population in China: the Jiangning Eye Study[J/OL]. Br J Ophthalmol, 2015[2015-06-11].http://bjo.bmj.com/content/early/2015/06/11/bjophthalmol-2015-307050.full.[Epub ahead of print].
9. 徐雁冰, 孙秋香, 卓旭英, 等.儿童黄斑部视网膜前膜三例[J].中华眼底病杂志, 2002, 18(3):79-80.
10. 董方田, 戴荣平, 霍冬梅, 等.儿童黄斑前膜手术疗效分析[J].中华眼科杂志, 2005, 41(1):56-58.
11. Rothman AL, Folgar FA, Tong AY, et al. Spectral domain optical coherence tomography characterization of pediatric epiretinal membranes[J]. Retina, 2014, 34(7):1323-1334.
12. Kampik A.Pathology of epiretinal membrane, idiopathic macular hole, and vitreomacular traction syndrome[J]. Retina, 2012, 32 Suppl 2:S194-198.
13. Wise GN.Congenital preretinal macular fibrosis[J]. Am J Ophthalmol, 1975, 79(3): 363-365.
14. Barr CC, Michels RG.Idiopathic nonvascularized epiretinal membranes in young patients: report of six cases[J]. Ann Ophthalmol, 1982, 14(4):335-341.
15. Ferrone PJ, Chaudhary KM.Macular epiretinal membrane peeling treatment outcomes in young children[J]. Retina, 2012, 32(3):530-536.
16. Benhamou N, Massin P, Spolaore R, et al.Surgical management of epiretinal membrane in young patients[J]. Am J Ophthalmol, 2002, 133(3):358-364.
17. Wang LC, Hung KH, Hsu CC, et al.Assessment of retinal pigment epithelial cells in epiretinal membrane formation[J]. J Chin Med Assoc, 2015, 78(6):370-373.
18. Fraser-Bell S, Guzowski M, Rochtchina E, et al.Five-year cumulative incidence and progression of epiretinal membranes: the Blue Mountains Eye Study[J]. Ophthalmology, 2003, 110(1):34-40.
19. Mitchell P, Smith W, Chey T, et al.Prevalence and associations of epiretinal membranes. The Blue Mountains Eye Study, Australia[J]. Ophthalmology, 1997, 104(6): 1033-1040.
20. Fraser-Bell S, Ying-Lai M, Klein R, et al.Prevalence and associations of epiretinal membranes in latinos: the Los Angeles Latino Eye Study[J]. Invest Ophthalmol Vis Sci, 2004, 45(6):1732-1736.
21. Smiddy WE, Michels RG, Gilbert HD, et al.Clinicopathologic study of idiopathic macular pucker in children and young adults[J]. Retina, 1992, 12(3):232-236.
22. Green WR, Gass JD.Senile disciform degeneration of the macula. Retinal arterialization of the fibrous plaque demonstrated clinically and histopathologically[J]. Arch Ophthalmol, 1971, 86(5):487-494.
23. Kim JH, Kim YM, Chung EJ, et al.Structural and functional predictors of visual outcome of epiretinal membrane surgery[J].Am J Ophthalmol, 2012, 153(1):103-110.
24. Shiono A, Kogo J, Klose G, et al.Photoreceptor outer segment length: a prognostic factor for idiopathic epiretinal membrane surgery[J]. Ophthalmology, 2013, 120(4): 788-794.
25. Shimozono M, Oishi A, Hata M, et al.The significance of cone outer segment tips as a prognostic factor in epiretinal membrane surgery[J].Am J Ophthalmol, 2012, 153(4):698-704.
26. Ophir A, Martinez MR.Epiretinal membranes and incomplete posterior vitreous detachment in diabetic macular edema, detected by spectral-domain optical coherence tomography[J]. Invest Ophthalmol Vis Sci, 2011, 52(9):6414-6420.
27. Suh MH, Seo JM, Park KH, et al.Associations between macular findings by optical coherence tomography and visual outcomes after epiretinal membrane removal[J]. Am J Ophthalmol, 2009, 147(3):473-480.
28. Kim JS, Chhablani J, Chan CK, et al.Retinal adherence and fibrillary surface changes correlate with surgical difficulty of epiretinal membrane removal[J]. Am J Ophthalmol, 2012, 153(4):692-697.
29. Kolomeyer AM, Schwartz DM.Spontaneous epiretinal membrane separation[J]. Oman J Ophthalmol, 2013, 6(1):56-57.
30. Mansour AM, Mansour HA, Arevalo JF.Spontaneous release of epiretinal membrane in a young weight-lifting athlete by presumed central rupture and centrifugal pull[J].Clin Ophthalmol, 2014, 8:2243-2250.
31. Yang HS, Hong JW, Kim YJ, et al.Characteristics of spontaneous idiopathic epiretinal membrane separation in spectral domain optical coherence tomography[J]. Retina, 2014, 34(10):2079-2087.
32. Kang KT, Kim KS, Kim YC.Surgical results of idiopathic and secondary epiretinal membrane[J]. Int Ophthalmol, 2014, 34(6):1227-1232.

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Chinese Journal of Ocular Fundus Diseases

青少年儿童黄斑前膜与成人黄斑前膜的比较

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