Washio Noriaki, Tsuchida Nobuo
Tsuchida Eye Clinic, Kodaira City, Tokyo, Japan.
Am J Ophthalmol Case Rep. 2024 Aug 23;36:102155. doi: 10.1016/j.ajoc.2024.102155. eCollection 2024 Dec.
To report two cases of vitreous hemorrhage caused by avulsed retinal vessel syndrome (ARVS), one of which was successfully treated without vascular occlusion.
A 62-year-old female presented with vitreous hemorrhage of unknown origin. We performed vitrectomy and found a detached and ruptured retinal vein below the optic nerve head. After coagulating the peripheral side of the blood vessel, we were able to prevent the recurrence of vitreous hemorrhage. However, she developed branch retinal vein occlusion and subsequently macular edema. In the other case, a 71-year-old woman also had vitreous hemorrhage, but the fundus was partially visible. The retinal vein in the superior nasal quadrant was detached from the retinal surface and bled into the vitreous cavity. We performed vitrectomy to relieve the vitreous traction. Although we did not coagulate the vein, there was no recurrence of vitreous hemorrhage after surgery.
By releasing the vitreous traction with vitrectomy, we were able to treat the patient with ARVS without vascular occlusion.
报告两例因视网膜血管撕脱综合征（ARVS）导致的玻璃体积血病例，其中一例未经血管阻塞成功治疗。
一名62岁女性出现不明原因的玻璃体积血。我们进行了玻璃体切除术，发现视神经乳头下方视网膜静脉脱离并破裂。在凝固血管外周侧后，我们成功预防了玻璃体积血复发。然而，她随后发生了视网膜分支静脉阻塞及黄斑水肿。另一例中，一名71岁女性也出现了玻璃体积血，但眼底部分可见。鼻上象限视网膜静脉从视网膜表面脱离并向玻璃体腔出血。我们进行了玻璃体切除术以缓解玻璃体牵引。尽管我们未对静脉进行凝固，但术后未出现玻璃体积血复发。
通过玻璃体切除术解除玻璃体牵引，我们能够在不进行血管阻塞的情况下治疗ARVS患者。
