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视网膜大动脉瘤破裂导致的玻璃体积血。

Vitreous hemorrhage caused by ruptured retinal macroaneurysm.

作者信息

Asao Kazunobu, Nakada Atsuko, Kawasaki Yoshimi

机构信息

Department of Ophthalmology, Takarazuka Daiichi Hospital, Hyogo, Japan.

出版信息

Case Rep Ophthalmol. 2014 Feb 1;5(1):44-9. doi: 10.1159/000358796. eCollection 2014 Jan.

DOI:10.1159/000358796
PMID:24707271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3975200/
Abstract

PURPOSE

To report the clinical findings of 7 patients with a vitreous hemorrhage (VH) caused by a ruptured retinal macroaneurysm.

METHODS

Interventional case series. The medical records of 7 patients with a VH caused by a ruptured macroaneurysm and treated by either medication or vitrectomy were reviewed. The main outcome measures were the visual acuity, appearance of the fundus and optical coherence tomographic findings.

RESULTS

Two patients, aged 49 and 58 years, had retinal macroaneurysms at the optic disc. The retinal macroaneurysm in the other 5 eyes (mean age 79.0 years) was not at the optic disc. The VH was completely resolved in all 7 patients. The visual acuity improved in all eyes and remained stable for at least 6 months after the treatments (p = 0.0478).

CONCLUSIONS

The improvement of the visual acuity in all eyes indicates that the prognosis of eyes with a VH caused by a ruptured retinal macroaneurysm is good.

摘要

目的

报告7例因视网膜大动脉瘤破裂导致玻璃体积血（VH）患者的临床研究结果。

方法

介入病例系列研究。回顾性分析7例因大动脉瘤破裂导致玻璃体积血并接受药物治疗或玻璃体切除术的患者的病历。主要观察指标为视力、眼底表现及光学相干断层扫描结果。

结果

2例患者，年龄分别为49岁和58岁，视网膜大动脉瘤位于视盘处。另外5只眼（平均年龄79.0岁）的视网膜大动脉瘤不在视盘处。所有7例患者的玻璃体积血均完全吸收。所有患眼视力均有提高，且在治疗后至少6个月保持稳定（p = 0.0478）。

结论

所有患眼视力均有提高，表明因视网膜大动脉瘤破裂导致玻璃体积血的患眼预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e94f/3975200/2516a0712376/cop-0005-0044-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e94f/3975200/1497a7d46ad4/cop-0005-0044-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e94f/3975200/2516a0712376/cop-0005-0044-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e94f/3975200/1497a7d46ad4/cop-0005-0044-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e94f/3975200/2516a0712376/cop-0005-0044-g02.jpg

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本文引用的文献

1
[Three cases of retinal arterial macroaneurysm on the optic disc].
Nippon Ganka Gakkai Zasshi. 2010 Sep;114(9):801-4.
2
Retinal structural changes associated with retinal arterial macroaneurysm examined with optical coherence tomography.利用光学相干断层扫描技术检测与视网膜动脉大动脉瘤相关的视网膜结构变化。
Retina. 2009 Jun;29(6):782-92. doi: 10.1097/IAE.0b013e3181a2f26a.
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Asymptomatic peripapillary subretinal hemorrhage: a study of 10 cases.无症状性视乳头周围视网膜下出血：10例研究
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Retinal artery macroaneurysms: clinical and fluorescein angiographic features in 34 patients.视网膜动脉大动脉瘤：34例患者的临床及荧光素血管造影特征
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