国际眼科杂志2026,Vol.26Issue(9):1566-1571,6.DOI:10.3980/j.issn.1672-5123.2026.9.11
退行性视网膜劈裂的研究进展
Research progress of degenerative retinoschisis
摘要
Abstract
·Degenerative retinoschisis(RS)is a common peripheral retinal degeneration that typically remains asymptomatic and follows a benign clinical course.However,its morphological resemblance to rhegmatogenous retinal detachment(RRD)presents a diagnostic challenge,as the two conditions demand fundamentally different management and carry distinct prognoses.Precise differentiation is therefore clinically imperative.Recent advances in multimodal imaging have substantially refined the diagnostic accuracy and differential assessment of degenerative RS,establishing spectral-domain optical coherence tomography(SD-OCT)as the definitive reference standard.When the disease progresses to progressive symptomatic schisis-related retinal detachment(PSSRD),prompt surgical intervention,including scleral buckling,pars plana vitrectomy,or a combined approach,is mandated to preserve visual function.Clinical decision-making must be individualized,with the surgical strategy carefully tailored to the specific characteristics of eachcase.This review provides a systematic synthesis of current evidence on the natural history,imaging hallmarks,and surgical management of degenerative RS and its complications,aiming to inform and optimize clinical practice.关键词
视网膜劈裂/退行性/多模式影像/玻璃体视网膜手术/巩膜扣带术Key words
retinoschisis/degenerative/multimodal imaging/vitreoretinal surgery/scleral buckling引用本文复制引用
白雅琪,李静,张潇丹,王文娟,王永瑞,秦亚楠,杨佳佳,周国宏..退行性视网膜劈裂的研究进展[J].国际眼科杂志,2026,26(9):1566-1571,6.基金项目
三晋英才医疗卫生领军人才项目(No.SJYC2024201) Sanjin Yingcai Healthcare Leading Talent Project(No.SJYC2024201) (No.SJYC2024201)