Orth D H, Flood T P
Retina. 1982;2(2):89-93. doi: 10.1097/00006982-198200220-00006.
Three patients developed vitreous hemorrhage secondary to breakthrough bleeding from presumed extramacular subretinal neovascularization. In one patient, the vitreous hemorrhage cleared spontaneously. In two other patients, trans-pars plana vitrectomy was performed. All patients regained 20/30 vision or better. Residual peripheral retinal pigment epithelial atrophy, organized subretinal hemorrhage, and/or subretinal fibrous membranes were present in all patients. A definite extramacular subretinal neovascular membrane was identified in one patient. Ocular diseases associated with subretinal neovascularization are tabulated. Indications for trans-pars plana vitrectomy in patients with breakthrough vitreous hemorrhage secondary to presumed extramacular subretinal neovascularization are proposed.
三名患者因推测为黄斑外视网膜下新生血管破裂出血而发生玻璃体积血。其中一名患者的玻璃体积血自行消退。另外两名患者接受了经平坦部玻璃体切除术。所有患者视力恢复到20/30或更好。所有患者均存在残留的周边视网膜色素上皮萎缩、机化的视网膜下出血和/或视网膜下纤维膜。在一名患者中发现了明确的黄斑外视网膜下新生血管膜。列出了与视网膜下新生血管相关的眼部疾病。提出了对推测为黄斑外视网膜下新生血管破裂出血导致玻璃体积血患者进行经平坦部玻璃体切除术的指征。
