摘要
目的：观察和探讨近视性黄斑出血的临床特点。方法：对确诊为近视性黄斑出血的２４例患者的３０只眼作视力、眼前节、眼底、Ａ／Ｂ超声仪、眼底荧光血管造影（ｆｕｎｄｕｓｆｌｕｏｒｅｃｅｉｎａｎｇｉｏｇｒａ－ｐｈｙ，ＦＦＡ）等检查，中西药物治疗并随访观察３～１８个月（平均１２个月）。结果：作ＦＦＡ检查的２６只眼中２２只眼为单纯型黄斑出血，其中１９只眼伴有漆裂样纹，出血多在１～３个月吸收；另外４只眼ＦＦＡ检查发现为脉络膜新生血管出血，视力预后均较差，且均伴有后葡萄肿。结论：近视性黄斑出血可分为单纯型和脉络膜新生血管膜型，前者出血吸收快，后者反复出血视力预后较差。
PURPOSE:Toobservetheclinicalfeaturesofthemacularhemorrhageinmyopes.METHOD:Twenty-fourpatients(30eyes)withmyopicmacularhemorhagewereexaminedwithslitlampbiomicroscopy,funduscope,A/Bultrasonography,andfundusfluoreceinangiography(FFA).Thepatientswerefolowedupfor3～18months(average12months).RESULTS:Fourof26eyeswithmacularhemorrhageexaminedwithFFAwerefoundtobeduetochoroidalneovascula-ture,andtheywereassociatedwithposteriorstaphyloma.Theother22eyeswithoutneovascularchangewerethoughttobesimpletype,and19ofthemwereassociatedwithlacquercracks.Thehemorhageinsimpletypecasesdeminishedusualywithin1～3months.CONCLUSION:Myopicmacularhemorrhagiceyesofneovasculartyperesultedusualyinrecurrenthemorrhageandworseprognosisinvisualacuitythanthoseofsimpletype.
出处
《中华眼底病杂志》
CAS
CSCD
1996年第4期220-222,共3页
Chinese Journal of Ocular Fundus Diseases
关键词
视网膜出血
黄斑
近视
临床分析
出血
RetinalhemorrhageMaculalutea/bloodsupplyMyopiaScleraldiseaseChoroiddiseaseRetinalneovascularization
