表现为急性致密玻璃体积血的视网膜裂孔形成

The formation of retinal hole manifested as acute and dense vitreous hemorrhage

目的:报告4例因视网膜裂孔形成而表现为急性、掩盖眼底观察的致密玻璃体积血的病例。方法:回顾性病例研究,复习各例的临床记录。结果:患者4例为2男2女,年龄38～69岁。患眼为右眼(也为高度近视眼)1例,左眼(近视1例,正视眼2例)3例。病程1d～3wk。首诊时视力为手动～0.04。经过玻璃体手术(3例)和单纯激光光凝(1例)处理视网膜裂孔,最后随访视力均有改善,分别为0.04,0.2,0.6与0.8。结论:对于因视网膜裂孔形成引起的急性玻璃体积血应保持警惕,早期诊断和封闭裂孔可避免视网膜脱离,获得较好的视力恢复。

AIM：To report 4 cases of acute and fundus obscuring,dense vitreous hemorrhage due to the formation of retinal hole.METHODS：Retrospective case study.The medical records of all patients were reviewed.RESULTS：Four patients included 2 male and 2 female with ages of 38 to 69 years old.The involved eye was the right eye（also high myopia）in one case and the left eye（myopia 1 case,emmetropia 2 cases）in 3 cases.The history of disease course was 1 day-3 weeks.The visual acuity was hand mouement-0.04 at initiate visit and improved in all cases following treatment of retinal hole by means of pars plana vitrectomy in 3 cases and laser photocoagulation alone in one case.The final vision was 0.04,0.2,0.6 and 0.8,respectively.CONCLUSION：We should be aware that acute vitreous hemorrhage can be induced by the formation of retinal hole.Early diagnosis and seal of the retinal hole can avoid retinal detachment and achieve better visual recovery.