Miller-Meeks M J, Bennett S R, Keech R V, Blodi C F
Department of Ophthalmology, University of Iowa, Iowa City.
Am J Ophthalmol. 1990 Feb 15;109(2):199-203. doi: 10.1016/s0002-9394(14)75987-2.
Six of 11 children developed myopia in one eye after vitreous hemorrhage. None had retinopathy of prematurity, glaucoma, aphakia, or scleral buckling. In seven children developing vitreous hemorrhage before 1 year of age, six exhibited a myopic anisometropia in the affected eye of 1.37 to 12.00 diopters (mean, -4.7 diopters; S.D., 4.0). The degree of myopia correlated with the age of onset and duration of media opacification. In the child without myopia, the hemorrhage did not obscure the posterior pole. None of the four children whose hemorrhage occurred after 2 1/2 years of age showed myopic anisometropia (mean, +0.16 diopters; S.D., 0.24). We conclude that vitreous hemorrhage occurring in infancy is strongly associated with the development of myopia in the affected eye.
11名儿童中有6名在玻璃体出血后一只眼睛出现近视。他们均无早产儿视网膜病变、青光眼、无晶状体或巩膜扣带术史。7名在1岁前发生玻璃体出血的儿童中，6名患眼出现近视性屈光参差，度数为1.37至12.00屈光度（平均-4.7屈光度；标准差4.0）。近视程度与发病年龄和介质混浊持续时间相关。在没有近视的儿童中，出血未遮盖后极部。4名在2岁半后发生出血的儿童均未出现近视性屈光参差（平均+0.16屈光度；标准差0.24）。我们得出结论，婴儿期发生的玻璃体出血与患眼近视的发展密切相关。
