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NEJM：星状玻璃体-病例报道

2018-08-23 xing.T MedSci原创

星状玻璃体斑点视力
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星状玻璃体是一种良性疾病，通常发生在单侧眼睛，正如该患者，并且与年龄较大有关。星状玻璃体是由钙、磷和各种磷脂所组成。虽然在临床检查期间星状玻璃体病可能妨碍视网膜的视野，但视力通常不受影响。

患者为一名54岁女性，既往患有2型糖尿病，到眼科门诊进行常规扩张眼底检查。她有白内障病史，接受双眼后房型人工晶状体治疗。



左眼裂隙灯检查显示玻璃体腔内有多处闪亮、白色、球状、折射状、点状混浊（如图）。不透明混浊点随着眼球运动而移动，并在眼球运动停止后返回其原始位置。右眼玻璃体看起来很正常。每只眼睛的视敏度为20/20，每只眼睛的眼底正常。诊断为星状玻璃体。

星状玻璃体是一种良性疾病，通常发生在单侧眼睛，正如该患者，并且与年龄较大有关。星状玻璃体是由钙、磷和各种磷脂所组成。虽然在临床检查期间星状玻璃体病可能妨碍视网膜的视野，但视力通常不受影响。

鉴于这种疾病的良性本质和该患者的正常视力，建议不进行治疗。

原始出处：

Koushik Tripathy,et al. Asteroid Hyalosis.N Engl J Med 2018; https://www.nejm.org/doi/full/10.1056/NEJMicm1712355

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1496234, encodeId=421d1496234b7, content=<a href='/topic/show?id=bab46858ee3' target=_blank style='color:#2F92EE;'>#玻璃体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68587, encryptionId=bab46858ee3, topicName=玻璃体)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=47bd9248134, createdName=yykkxiaodou, createdTime=Sat Aug 25 00:04:00 CST 2018, time=2018-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=340352, encodeId=3193340352f1, content=值得学习很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Thu Aug 23 09:52:04 CST 2018, time=2018-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=340348, encodeId=830a340348a9, content=好文，值得点赞！认真学习了，把经验应用于实践，为患者解除病痛。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Thu Aug 23 09:39:37 CST 2018, time=2018-08-23, status=1, ipAttribution=)]
    2018-08-25 yykkxiaodou

    #玻璃体#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1496234, encodeId=421d1496234b7, content=<a href='/topic/show?id=bab46858ee3' target=_blank style='color:#2F92EE;'>#玻璃体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68587, encryptionId=bab46858ee3, topicName=玻璃体)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=47bd9248134, createdName=yykkxiaodou, createdTime=Sat Aug 25 00:04:00 CST 2018, time=2018-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=340352, encodeId=3193340352f1, content=值得学习很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Thu Aug 23 09:52:04 CST 2018, time=2018-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=340348, encodeId=830a340348a9, content=好文，值得点赞！认真学习了，把经验应用于实践，为患者解除病痛。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Thu Aug 23 09:39:37 CST 2018, time=2018-08-23, status=1, ipAttribution=)]
    2018-08-23 易水河

    值得学习很好

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1496234, encodeId=421d1496234b7, content=<a href='/topic/show?id=bab46858ee3' target=_blank style='color:#2F92EE;'>#玻璃体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68587, encryptionId=bab46858ee3, topicName=玻璃体)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=47bd9248134, createdName=yykkxiaodou, createdTime=Sat Aug 25 00:04:00 CST 2018, time=2018-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=340352, encodeId=3193340352f1, content=值得学习很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Thu Aug 23 09:52:04 CST 2018, time=2018-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=340348, encodeId=830a340348a9, content=好文，值得点赞！认真学习了，把经验应用于实践，为患者解除病痛。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Thu Aug 23 09:39:37 CST 2018, time=2018-08-23, status=1, ipAttribution=)]
    2018-08-23 lietome15

    好文，值得点赞！认真学习了，把经验应用于实践，为患者解除病痛。

    0