Goetz Reinold Kirton, Cosgrave Edel
Department of Ophthalmology, University Hospital Waterford, Dublin, Ireland Department of Ophthalmology, University Hospital Waterford, Waterford, Ireland.
Department of Ophthalmology, University Hospital Waterford, Waterford, Ireland.
BMJ Case Rep. 2016 Feb 23;2016:bcr2015213172. doi: 10.1136/bcr-2015-213172.
We present four cases of acute blurred vision that presented to the Ophthalmology Emergency Department of University Hospital Waterford. All four patients were found to have a spontaneous hyphaema with neither neovascular cause nor traumatic history. The pathophysiology was initially uncertain. On closer investigation, these patients were found to have rare iris microhaemangiomas (IMs) or Cobb's haemangiomas. They were all treated conservatively and made full recoveries. Though some reports recommend treating IM prior to intraocular surgery, one of these patients proceeded to have uncomplicated cataract surgery at a later date with no need for prior intervention.
我们报告了4例急性视力模糊的病例，这些病例均出现在沃特福德大学医院眼科急诊科。所有4例患者均被发现有自发性前房积血，既无新生血管病因，也无外伤史。起初，其病理生理学尚不清楚。经过进一步检查，发现这些患者患有罕见的虹膜微血管瘤（IMs）或科布血管瘤。他们均接受了保守治疗并完全康复。尽管一些报告建议在进行眼内手术前治疗IM，但其中1例患者后来顺利进行了白内障手术，无需事先干预。
