Smith Bradley T, Joseph Daniel P
Barnes Retina Institute, Washington University School ofMedicine, Department of Ophthalmology and Visual Sciences, St. Louis, Missouri, USA.
Ophthalmic Surg Lasers Imaging. 2009 Jul-Aug;40(4):419-20. doi: 10.3928/15428877-20096030-14.
The authors present a case of a previously undiagnosed retinal cavernous hemangioma that hemorrhaged during labor. There are previous reports of labor-induced intracranial hemorrhage from central nervous system vascular malformations, but none have demonstrated intraocular hemorrhage during labor. The case emphasizes a need to screen patients with retinal cavernous hemangioma and to warn them of possible vision loss during Valsalva maneuvers such as labor.
作者报告了一例先前未被诊断出的视网膜海绵状血管瘤，该血管瘤在分娩时出血。以前有关于分娩诱发中枢神经系统血管畸形导致颅内出血的报道，但尚无分娩时眼内出血的病例。该病例强调需要对视网膜海绵状血管瘤患者进行筛查，并告知他们在诸如分娩等瓦尔萨尔瓦动作期间可能出现视力丧失的情况。
