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.
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.
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。
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