Blanksma L J, Hooijmans J M
Ophthalmologica. 1979;178(6):297-302. doi: 10.1159/000308840.
In 3 patients a spontaneous haemorrhage in the anterior chamber originated from vascular tufts at the pupillary border. These vascular tufts were hardly visible by slitlamp observation, but could be visualized well with fluorescein angiography. The patients were aged 50 years or more and in 2 of them the vascular tufts were found in both eyes. The haemorrhages disappeared spontaneously under conservative therapy and only in 1 case caused a transient glaucoma. Of 115 randomly chosen out-patients, 4 cases were found with the same vascular tufts on the pupillary border, but without any symptom. All the patients who had vascular tufts, with or without haemorrhage in the anterior chamber, were in the sixth decade or older. We think that these vascular lesions are caused by cardiovascular diseases and by elevated venous pressure caused by intrathoracic processes. Diabetes and intraocular diseases were excluded in our patients.
3例患者前房自发性出血源自瞳孔缘的血管丛。这些血管丛通过裂隙灯观察很难看到，但荧光素血管造影能很好地显示。患者年龄在50岁及以上，其中2例双眼均发现血管丛。出血在保守治疗下自发消失，仅1例导致短暂性青光眼。在随机选取的115例门诊患者中，4例在瞳孔缘发现相同的血管丛，但无任何症状。所有有血管丛的患者，无论前房有无出血，均为60多岁或更年长。我们认为这些血管病变是由心血管疾病以及胸腔内病变引起的静脉压升高所致。我们的患者排除了糖尿病和眼内疾病。
