国际分类根据近视萎缩进展的程度将近视性黄斑病变(Myopic maculopathy),近视性黄斑变性(Myopia macular degeneration, MMD)分为4类:豹纹眼底、弥漫性视网膜脉络膜萎缩、局灶性视网膜脉络膜萎缩、黄斑萎缩;而将非萎缩的3类病变(漆样裂纹、CNV、Fuchs斑)设为附加病变进行描述。而以上4类近视黄斑病变每个类型都可以发生附加病变。
0、无近视性视网膜退行性变;
1、豹纹状眼底;
2、弥漫性脉络膜视网膜萎缩;
3、斑片状脉络膜视网膜萎缩;
4、黄斑萎缩。
另有3项内容作为以上分类的补充:漆状裂纹,近视性脉络膜新生血管和Fuchs'斑。
Color fundus photographs representing different types of myopic maculopathy, according to Hayashi et al. (A) Tessellated fundus, OD. (B) Diffuse chorioretinal atrophy, OD. (C) Patchy chorioretinal atrophy (arrow), OS. (D) Lacquer cracks (arrow), OS. (E) Active choroidal neovascularization, with macular hemorrhage, OD. (F) Extensive macular atrophy, OD.
参考文献:
Cláudia L. Farinha1, Alda S. Baltar1, Sandrina G. Nunes2.Choroidal thickness after treatment for myopic choroidal neovascularization.European journal of ophthalmology. 2013 June 23(6).