摘要
目的探讨视盘周围视网膜下出血（periapillary subretinal hemrrhage,PPSRH）的临床特点和相关因素。方法对25例（27眼）PPSRH患者的眼部表现和眼底荧光血管造影（fundus fluorescein angiography,FFA）等临床资料进行回顾性分析。结果25例中,平均年龄为30.32岁。2例为双眼。中度以下近视25只眼,远视2只眼。眼底检查仅PPSRH改变的3只眼,PPSRH伴视盘火焰状出血18只眼,除PPSRH和视盘表面出血外,伴少量玻璃体出血6只眼。FFA显示PPSRH为边界清晰的深层遮蔽荧光,其表面的视网膜血管走行及充盈未见异常。17只眼在FFA的后期视盘呈不规则的荧光着色。结论根据眼部表现和FFA改变,推测PPSRH与埋藏型视盘玻璃疣和近视眼有关。
Objective To investigate the cinical characteristics and the related factors of peripapillary subretinal hemorrhage （PPSRH）. Methods The ocular manifestation of 25 patients （27 eyes） with PPSRH and their appearance of fundus fluorescein angiography （FFA） were retrospectively analyzed. Results In all of these 25 patients, their average age was 30.32 years old, 2 patients were affected bilabial. 25 eyes had submoderate myopia and 2 eyes had mild hyeropia. In fundus examination： PPSRH （3 eyes）, PPSRH with disc hemorrhage （18 eyes）, and PPSRH with disc hemorrhage and vitreous hemorrhage （6 eyes）. In FFA： the hemorrhage showed blocked fluorescence and nothing abnormal in optic disc blood vessel. In 17 eyes, the optic discs showed irregular hyperfluoresscence at the phase. Conclusions According to the ocular manifestation and fundus fluorescein angiography, PPRSH might be related to buried optic disc drusen and myopia.
出处
《中国实用眼科杂志》
CSCD
北大核心
2007年第4期436-437,共2页
Chinese Journal of Practical Ophthalmology
