Tillmann W
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1975 Jun 6;195(3):207-14. doi: 10.1007/BF00410473.
Concerning the pathogenesis of retinal detachment 4 groups of each 10 eyes have been examined by fluorescein angiography: the periphery of normal eyes (Table 2), ophthalmoscopically inconspicuous sectors of patients with detachment (Table 3), the area of lattice degeneration, radial perivascular degeneration and round holes without detachment (Table 4) and the area of tears and holes, when detachment has taken place (Table 5). The time passing between the injection of dye into the cubital vein and the first arterial filling in the retinal periphery is practically equal in all groups. The prolongation of retinal circulation time II from the first arterial to the complete venous filling in areas of lattice degeneration etc. without detachment seems to be in connection with small vessel closures. The striking short retinal circulation time I from the first arterial to the first venous filling in the cases of detachment is apparently caused by capillary dilatations central of the tears and holes; the dilated capillaries seem to have the function of a arteriovenous anastomosis. Own measurements of circulation times in the area of optic disc (Table 1), performed for comparisments, are accordant to literature.
关于视网膜脱离的发病机制,我们通过荧光素血管造影对4组每组10只眼睛进行了检查:正常眼睛的周边部(表2)、视网膜脱离患者眼底镜下不明显的区域(表3)、格子样变性、放射性血管周围变性和无脱离的圆形裂孔区域(表4)以及发生视网膜脱离时的裂孔和破孔区域(表5)。在所有组中,从肘静脉注射染料到视网膜周边部首次动脉充盈之间的时间实际上是相等的。在没有视网膜脱离的格子样变性等区域,从首次动脉充盈到完全静脉充盈的视网膜循环时间II延长似乎与小血管闭塞有关。在视网膜脱离病例中,从首次动脉充盈到首次静脉充盈的视网膜循环时间I显著缩短,显然是由裂孔和破孔中央的毛细血管扩张引起的;扩张的毛细血管似乎具有动静脉吻合的功能。为了进行比较,我们对视盘区域的循环时间进行了自行测量(表1),结果与文献一致。