正常眼的脉络膜血管系统研究进展OA
Research progress on choroidal vascular system in healthy eyes
脉络膜是视网膜的主要血供来源,脉络膜血管系统为眼内最大、最重要的血管系统,在给外层视网膜供血方面起着至关重要的作用.脉络膜是一个动态、多功能性结构,其生理性特性受多种因素影响.这些因素包括年龄、性别、解剖位置、眼轴长度、昼夜节律与饮酒等.脉络膜涡静脉根据解剖学位置可分为眼内、巩膜内和眼外三大部分,又进一步分为脉络膜静脉、壶腹前部、壶腹、壶腹后部、巩膜入口、巩膜内通道、巩膜出口和巩膜外涡静脉八个区域.在正常眼中,涡静脉的类型不仅限于传统认知中出口位于赤道部近睫状体平坦部的涡静脉,研究发现还存在出口位于后极部的后极部涡静脉.根据涡静脉的形态及解剖特点,涡静脉又分为四类:缺失型涡静脉、不完整型涡静脉、完整型涡静脉、完整型涡静脉伴壶腹.文章旨在阐述正常人眼的脉络膜血流及涡静脉解剖基础,以深入了解正常状态下的脉络膜特征,这不仅有助于辨别脉络膜的病理性变化,且对脉络膜相关眼部疾病的诊断与鉴别诊断有重要价值.
The choroid is the primary source of blood supply for the retina.As the largest and most important vascular system within the eye,the choroidal vasculature plays a crucial role in providing blood to the outer retina.The choroid is a dynamic,multifunctional structure whose physiological characteristics are influenced by a variety of factors.These factors include age,gender,anatomical location,axial length of the eye,circadian rhythm,and alcohol consumption,among others.Choroidal vortex veins can be anatomically divided into three main parts:intraocular,scleral,and extraocular.Furthermore,they can be subdivided into eight distinct regions:choroidal veins,pre-ampulla,ampulla,post-ampulla,scleral entrance,intrascleral canal,scleral exit,and extrascleral vortex vein.In the healthy eye,the types of vortex veins are not limited to the traditionally recognized veins with exits near the ciliary body pars plana in the equatorial region.Recent research has revealed the existence of posterior vortex veins with exits in the posterior pole of the eye.Based on the morphology and anatomical characteristics of vortex veins,they can be further classified into four types:absent vortex veins,incomplete vortex veins,complete vortex veins,complete vortex veins with ampulla.This paper aims to elucidate the blood flow and vortex veins anatomical foundation of the choroid in normal human eyes.Understanding these characteristics in a healthy state will aid in identifying pathological changes in the choroid,which is of significant value for the diagnosis and differential diagnosis of ocular diseases.
何桂琴;文峰
中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060
临床医学
正常眼脉络膜涡静脉后极部涡静脉
healthy eyeschoroidvortex veinposterior vortex vein
《眼科学报》 2024 (007)
365-373 / 9
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