摘要
目的分析Purtseher远达性外伤性视网膜血管病变的病例特点。方法回顾性分析2013年9月至2017年4月远达性视网膜血管病变4例（5眼）的临床特点。结果4例均为眼部以外部位挤压伤或撞击伤后数小时至数天出现单眼或双眼视物模糊，发病后立即到眼科就诊者给予糖皮质激素、改善微循环和神经营养药物治疗，部分患者效果良好；未及时就诊或视网膜损伤较重者视力较差。结论远达性外伤性视网膜血管病变的眼底具有特征性，预后差异性大，积极治疗后部分可获良好效果，损伤过重或延误治疗时机者则形成不可逆损伤。
Objective To analyze the characteristics of remote traumatic retinal angiopathy of Purtscher. Methods The clinical characteristics of 5 eyes of 4 cases with remote traumatic retinal angiopathy of Purtscher from Sep. 2013 to Apr. 2017 were retrospectively analyzed. Results Vaguenesss of monocular or binocular vision, hours or days after the crush injury or impact injury occurred in 4 cases. The prognosis of some patients were better after treatment with glucocoritcoids, microcirculation improvement and nerve nutrition drugs in time. The visual acuity of patients who had not been treated in time or with severe retinal damage were poor. Conclusion The fundus of remote traumatic retinal angiopathy is characteristic, and the prognosis is different. Part of the patients have good effect after treatment in time, and irreversible damage could formed after excessive injury or delayed of treatment.
作者
张黎
袁容娣
Zhang Li;Yuan Rongdi(Depertment of Ophthalmology, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, Chin)
出处
《中华眼外伤职业眼病杂志》
2018年第6期429-432,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
