Wood W J, Smith T R
Retina. 1983 Fall-Winter;3(4):296-303. doi: 10.1097/00006982-198300340-00013.
Six eyes developed angle-closure glaucoma secondary to total hemorrhagic retinal detachment that occurred as a rare complication of senile disciform macular degeneration. The patients were all elderly with known senile macular choroidal degeneration. They had no history of eye surgery and experienced sudden loss of vision followed by pain. Balloons of retinal detachment were pushed tightly against the lens in a characteristic "Y suture" appearance causing shallowing of the anterior chamber and glaucoma. Pathologic examination of three eyes revealed that the choroid was not detached but that a massive subretinal hemorrhage was present. Neovascular tissue in macular disciform lesions was found in every case and was the probable source of hemorrhage. Sheets of avulsed retinal outer segments were seen incarcerated in subretinal blood in two cases, and drainage of this subretinal blood in three cases did not restore useful vision.
六只眼睛因全出血性视网膜脱离继发闭角型青光眼，这种情况是老年性盘状黄斑变性的一种罕见并发症。患者均为老年人，患有已知的老年性黄斑脉络膜变性。他们没有眼部手术史，经历了突然视力丧失，随后出现疼痛。视网膜脱离的球状物以典型的“Y形缝线”外观紧紧挤压晶状体，导致前房变浅和青光眼。三只眼睛的病理检查显示脉络膜未脱离，但存在大量视网膜下出血。在每个病例中均发现黄斑盘状病变中的新生血管组织，这可能是出血的来源。在两例病例中可见成片的撕脱视网膜外节嵌顿于视网膜下血液中，三例病例中视网膜下血液引流后未恢复有用视力。
