随着光学相干断层扫描(optical coherence tomography,OCT)的快速发展和广泛应用，视盘周围高反射卵圆形团块样结构(peripapillary hyper-reflective ovoid mass-like structure,PHOMS)已成为神经眼科临床实践中OCT检查的常见征象之一。该结构是生理性改变还是病理性改变目前尚无定论，推测可能与视乳头轴浆瘀滞有关。该文针对PHOMS的形态特征做一综述，总结各种疾病相关的PHOMS，并提出一些针对PHOMS的疑点及研究方向，旨在为临床医生及早辨别PHOMS、早期治疗眼底疾病提供依据。

With the rapid development and widespread application of optical coherence tomography(OCT), peripapillary hyper-reflective ovoid mass-like structure (PHOMS) has become one of the common signs of OCT in neuro-ophthalmic clinical practice. Whether this structure is physiological or pathological has not been determined, and it is speculated that it may be related to the stagnation of the axial plasma of the optic papilla. In this review, we describe the morphological characteristics of PHOMS, summarize various diseases related to PHOMS, and proposes some doubtful points and research directions for PHOMS, aiming to provide evidence for clinicians to identify PHOMS as early as possible and treat fundus diseases in the early stage.