Vine A K
Am J Ophthalmol. 1984 Dec 15;98(6):723-7. doi: 10.1016/0002-9394(84)90687-1.
A localized segment of a retinal vein can be avulsed or torn from the retina by vitreous traction without a concurrent retinal break or tear. Eight eyes in eight patients (five women and three men, 20 to 69 years old) with avulsed retinal veins without retinal breaks showed a wide range of underlying retinal abnormalities, including background diabetic retinopathy, pars planitis, and involutional proliferative retinopathies. Such avulsed retinal veins often cause recurrent vitreous hemorrhage. Despite vitreous hemorrhages in six of the eight eyes, the visual prognoses were excellent in all eyes. An avulsed retinal vein must be considered in the differential diagnosis of those patients with proliferative retinopathies who have vitreous hemorrhage.
视网膜静脉的局部节段可因玻璃体牵拉而从视网膜撕脱或撕裂，而无同时发生的视网膜裂孔或撕裂。8例患者的8只眼（5名女性和3名男性，年龄20至69岁）出现视网膜静脉撕脱且无视网膜裂孔，显示出广泛的潜在视网膜异常，包括背景性糖尿病视网膜病变、睫状体平坦部炎和退行性增殖性视网膜病变。这种视网膜静脉撕脱常导致反复性玻璃体出血。尽管8只眼中有6只眼发生了玻璃体出血，但所有眼的视觉预后均良好。对于患有增殖性视网膜病变且伴有玻璃体出血的患者，鉴别诊断时必须考虑视网膜静脉撕脱。
