2017年 · 第53卷第05期

This issue focuses on the research progress of fundus diseases. Professor Wei Wenbin is the responsible editorial committee responsible for the planning, composition and review of the key contents of this issue.

Anatomy is the study of the morphology, structure and development of animals, plants and human bodies^[1]。 Human anatomy is the subject of studying the morphological structure of various systems, organs and tissues of healthy human body^[2]。 Dissection is to study the physiological structure of various organs of human or animal or plant bodies, and use special knives and scissors to cut open human or animal or plant bodies. Thus, "anatomy" is a noun and "anatomy" is a verb.

The patient was a female, 45 years old. He was admitted to the Department of Ophthalmology of Ningbo Eye Hospital for 1 week due to decreased visual acuity of his left eye accompanied by visual object deformation and visual obstruction. The patient has been highly myopic in both eyes since childhood. Several years ago, he underwent laser correction of corneal myopia in both eyes, and denied the history of other eye diseases and systemic diseases. Deny history of ocular trauma and drug allergy. Ophthalmologist examination: Right eye naked visual acuity 0.15, -5.00 DS2.00 DC ×85° corrected to 0.4, left eye naked visual acuity 0.04, -5.00 DS 1.00DC ×85° was corrected to 0.15, there was no conjunctiva congestion in both eyes, the cornea was transparent, the anterior chamber was deep, the aqueous humor was clear, the pupil was round, about 3 mm in diameter, there was light reflection, the lens was slightly opaque, the vitreous was slightly opaque, the optic disk boundary of the fundus of both eyes was clear, the color was pale red, the blood vessels were slender, the fundus was leopard print, the macular reflection of the right eye was not seen, the macular area of the left eye was dark red, and the foveal reflection disappeared (FIG. 1A）。 Auxiliary examination: FFA examination of the left eye on August 11, 2015 showed that there was a punctate fluorescein leakage at the inferior temporal margin of the macular arch ring in the left eye (FIG. 1B), the results of the frequency domain OCT examination of the left eye (Topcon, Japan) on August 8, 2015 showed that the strong reflection light cluster under the fovea of the left eye was accumulated with the anterior macular surface membrane, part of the retinal interlaminar cleavage and the macular lamellar hole (Figure 1C）。 The initial diagnosis was: choroidal neovascularization in pathological myopia in the left eye, epiretinal macular membrane in the left eye, macular lamellar hole in the left eye, high myopia in both eyes, and laser correction of corneal myopia in both eyes. He was admitted to Ningbo Eye Hospital on August 14, 2015, and received ranibizumab injection into the vitreous cavity of his left eye with the informed consent of the patient, and the process went smoothly. After postoperative outpatient follow-up, reexamination of OCT 1 month after injection showed that the strong reflection light group in macular area disappeared, partial retinoschisis, macular lamellar hole with macular epiretinal membrane (Figure 2）。 Three months later, reexamination of left eye OCT showed: macular hole, aggravation of retinoschisis, local neuroepithelial layer detachment (Figure 3）。 OCT of left eye after 3.5 months reexamination showed: macular hole, macular epiretinal membrane, retinal detachment (Figure 4）。 On December 1, 2015, he underwent 25G vitrectomy + peeling + gas-liquid exchange + silicone oil intraocular filling in his left eye at Ningbo Eye Hospital. The operation was successful. After 1 month after the operation, the OCT of his left eye showed that the epiretinal membrane and retinoschisis disappeared, and the retina was well reset (Figure 5）。

The patient was a 29-year-old male. In the process of repairing the laser cigarette lighter, my eyes suddenly lit up and my vision was blurred, so I went to the Department of Ophthalmology of Cangzhou Central Hospital. Eye examination: visual acuity was 1.2 in the right eye and 1 m index in the left eye; There were no obvious abnormalities in the anterior segment and fundus of the right eye, no abnormalities in the anterior segment of the left eye, and a macular hole in the left fundus (Quintessence Picture 1In a). The results of the OCT examination are presented inQuintessence Picture 1Middle B. Clinical diagnosis: traumatic macular hole in the left eye.

optical coherence tomographic angiography (OCTA) is a split-spectrum amplitude decorrelation angiography (SSADA) method based on en face OCT^[1]A new technique for non-invasive display of the morphology and changes of retinal and choroidal blood flow. Currently, OCTA has been applied to central serous choroidopathy^[2]Choroidal neovascularization^[3]Polypoid choroidal vasculopathy^[4]and diabetic retinopathy^[5]It has broad clinical application prospects in the diagnosis and treatment of various retinal and choroidal lesions. Only by fully understanding the operating technical characteristics of OCTA, mastering the picture characteristics and reading points of OCTA can this technology be better applied to clinic and improve the diagnosis and treatment level of retinochoroidal vascular diseases.