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  • Title: Lacquer cracks in pathological myopia: a clinical review.
    Author: Neelam K, Ng SMS, Ho EL, Au Eong KG.
    Journal: Eye (Lond); 2024 Oct; 38(15):2859-2873. PubMed ID: 39117703.
    Abstract:
    Lacquer cracks, described as breaks in the Bruch's membrane, are unique lesions in the spectrum of fundus changes associated with pathological myopia. Lacquer cracks are generally believed to be relatively innocuous lesions by themselves; however, progression to other features of myopic macular degeneration, such as patchy chorioretinal atrophy and choroidal neovascularization, may result in irreversible visual impairment. With the rising prevalence of pathological myopia to epidemic proportions, particularly in the Asian countries, ophthalmologists expect to encounter lacquer cracks more frequently in clinical practice. Therefore, it is crucial for the ophthalmic community to be aware of lacquer cracks and to actively look for these lesions in myopic patients so that early detection and close monitoring can help prevent blinding complications. This article provides a comprehensive review on lacquer cracks in eyes with pathological myopia from a clinical perspective. 摘要: 漆裂纹, 为Bruch膜的断裂, 是与病理性近视眼底病变有关的特征性病变。目前普遍认为漆裂纹病变本身是相对无害的改变；然而, 若进展为近视性黄斑变性的其他特征, 如斑点状脉络膜视网膜萎缩和脉络膜新生血管, 可能会导致不可逆的视力损害。随着病理性近视患病率的持续上升到流行病的程度, 尤其是在亚洲国家, 眼科医生会在临床中更频繁地遇到漆裂样纹。因此, 眼科界必须意识到漆裂纹在病理性近视中的作用并积极在近视患者中寻找这些病变, 以便早期发现和密切监测, 以助于预防致盲并发症的发生。本文从临床角度提供了病理性近视中漆裂样纹的全面综述。.
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