Singalavanija A, Tanterdtham J, Namatra C, Trinavarat A
Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1999 May;82(5):460-5.
Sixty-one patients (62 eyes) with vitreous hemorrhage were studied. None were associated with diabetic retinopathy or perforating injuries and all required surgical treatment. The patients had dense vitreous hemorrhage with preoperative visual acuity of counting finger or worse in 55 eyes (88.7%). After the operation, a final visual acuity of 6/60 or better was found in 32 eyes (51.6%). The common causes of vitreous hemorrhage were subretinal neovascularization, blunt trauma, branch retinal vein occlusion, post-cataract extraction, retinal detachment with tears, and retinal vasculitis. There was no association between the postoperative visual outcome and either the preoperative visual acuity or the duration of vitreous hemorrhage. The pathological change at the macular area was the main factor which influenced the visual outcome.
对61例（62只眼）玻璃体积血患者进行了研究。所有患者均无糖尿病视网膜病变或眼球穿通伤，均需手术治疗。患者均为致密玻璃体积血，术前55只眼（88.7%）视力为指数或更差。术后，32只眼（51.6%）最终视力达到6/60或更好。玻璃体积血的常见原因包括视网膜下新生血管形成、钝挫伤、视网膜分支静脉阻塞、白内障摘除术后、伴有裂孔的视网膜脱离以及视网膜血管炎。术后视力结果与术前视力或玻璃体积血持续时间均无关联。黄斑区的病理改变是影响视力结果的主要因素。
