黄斑视网膜前膜的临床观察

目的探讨黄斑视网膜前膜(macular epiretinal membrane,MEM) 的临床特征、病因分类及病程分期。方法回顾性分析1983～2000年门诊经荧光素眼底血管造影诊断为MEM 194例患者的临床资料。结果194例222只眼眼底有MEM的典型表现。病因分类，先天性4例占2．12%，继发性22 例占11．34%，特发性168例占86．60%。病程分期，早期119只眼占53．60%，中期72只眼占3 2．43%，晚期31只眼占13．96%。结论MEM可分为先天性、继发性、特发性。病程可分早、中、晚三期，为探讨本病的治疗提供参考。(中华眼底病杂志,2001,17:210-213)

Clinical observation of macular epiretinal membrane

Objective To investigate the clinical features, etiological classification and staging of epiretinal macular membrane(MEM). Methods Clinical materials of 194 cases of MEM diagnosed by fundus fluorescein angiography in outpatient department of eye clinic in this hospital from 1983 to 2000 were retrospectively analyzed. Results There were typical clinical symptoms and signs of MEM in all of this 222 eyes of 194 patients. Etiological classification revealed that 4 cases were congenital(2.12%), 22 cases were secondary(11.34%), and 168 cases were idiopathic(86.60%). Staging of course of disease indicated that 119 eyes were in early stage(53.60%), 72 eyes were in middle stage(32.43%), and 31 eyes were in late stage(13.96%). Conclusion MEM may be classified as congenital, secondary and idiopathic type according to its pathogenesis, as early, middle and late stage according to the clinical course of disease. This can be helpful in treating the disease.