Shirshikov Iu K, Perchikova O I
Vestn Oftalmol. 1989 Nov-Dec;105(6):31-6.
A total of 133 patients with hemophthalmos and its aftereffects have been examined with the use of a digital processing gray scale ultrasonic B-scanner. Posterior detachments of the vitreous body (PDVB) have been revealed in 45 (33.8%) patients. In half of these patients the hyaloid membrane has been found bound to the optic disk or to the retina; this bond indicates the site of the hemorrhage from the injured vessel. V-shaped PDVB, connected with the optic disk, may be difficult to differentiate from a detachment of the retina. Three major factors should be borne in mind in such a differential diagnosis: the amplitude of the echo signal, the detachment topography and mobility. In 5 patients PDVB were combined with detachments of the retina. In 9 case PDVB have been a consequence of a retrovitreal hemophthalmos.
共有133例患有眼球积血及其后遗症的患者接受了数字处理灰度超声B扫描仪的检查。在45例(33.8%)患者中发现了玻璃体后脱离(PDVB)。在这些患者中的一半,发现玻璃体膜与视盘或视网膜相连;这种连接表明了受伤血管出血的部位。与视盘相连的V形PDVB可能难以与视网膜脱离相鉴别。在这种鉴别诊断中应牢记三个主要因素:回声信号的幅度、脱离的形态和活动度。在5例患者中,PDVB合并视网膜脱离。在9例中,PDVB是视网膜后积血的结果。