方法：回顾性分析2015-06/2016-06在我院眼科就诊的首发症状为眼前黑影飘动的60例60眼患者，经眼B超、散瞳眼底检查及OCT检查，明确诊断玻璃体混浊原因为视网膜裂孔的病例临床资料。

结果：患者60眼均无外伤及其它眼病史。年龄18～69岁，40岁以上者48眼。患者60眼中，裂孔数目为1～4个，其中12眼(20%)裂孔数目>1个，10眼(17%)发现裂孔位于两处不同位置，裂孔大小为1/6～2PD。颞上方裂孔39眼(65%)，颞下方裂孔18眼(30%)。圆形裂孔46眼(77%)。B超提示：60眼的B超检查均可见不同程度的玻璃体混浊，伴玻璃体后脱离48眼(80%)，其中高度近视伴玻璃体后脱离24眼(40%)。

结论：首发症状为玻璃体混浊的视网膜裂孔中老年人居多。临床中对近期出现眼前黑影的患者应详细进行眼底检查，眼B超与散瞳检查周边眼底可明确诊断。结合OCT检查，将更好地为视网膜裂孔的诊断和治疗提供依据。

METHODS:Clinical data of sixty eyes from sixty patients who came to our hospital with an initial symptom of vitreous floaters from June 2015 to June 2016 were retrospective studied. A diagnosis of retinal hole was made in all the patients by the eye B ultrasonic, dilated eye examination and optical coherence tomography.

RESULTS: No history of trauma or other eye diseases were identified in all the 60 cases. The patients were aged from 18 to 69 years old, and 48 of them were over 40. The number of the retinal holes ranged from one to four per eye. Twelve eyes(20%)of the patients had more than one hole, and retinal holes of 10(17%)patients were found in two different locations, with the size of the holes ranging from 1/6 to 2 PD. The holes in 39 eyes(65%)were found in the superior temporal retina, and the holes in 18 eyes(30%)were found in the inferior temporal retina. The shape of the holes was circle in 46 eyes(77%). B ultrasound revealed that all the 60 eyes showed different degrees of vitreous opacity, among which 48 eyes(80%)complicated with posterior vitreous detachment, and 24 eyes of them also suffered from a high degree of myopia.

CONCLUSION: Retinal hole with initial symptom of vitreous opacity was mostly diagnosed in elderly people. A detailed retinal examination of each patient who experiences vitreous floaters should be done. B ultrasonic and dilated eye examinations can make diagnosis clearly. OCT examination can serve as a supportive evidence to facilitate the diagnosis of retinal hole.