Chatzoulis D, Theodossiadis G, Apostolopoulos M, Koutsandrea C
Klin Monbl Augenheilkd. 1983 Oct;183(4):256-8. doi: 10.1055/s-2008-1054914.
Six cases of recurrent vitreous hemorrhage are described. The hemorrhage was due to a retinal vessel rupture or injury caused by vitreous traction. The traction was exerted by the detached vitreous and the vessel drawn into its cavity without the simultaneous occurrence of a tear in the retinal area corresponding to the point of traction. The avulsed vessel was usually a small vein in the upper temporal fundus quadrant. The vessel either projected as a hooklet into the vitreous cavity or its peripheral end was found to be floating freely within the cavity after having moved away from the retina. Treatment consisted in laser coagulation alone or in conjunction with an indentation created by fixing a silicon episcleral explant. Recurrent vitreous hemorrhages caused by a retinal vessel drawn into the vitreous cavity after posterior vitreous detachment without a retinal tear have hitherto not been accorded the attention they deserve.
本文描述了6例复发性玻璃体出血的病例。出血是由玻璃体牵拉导致视网膜血管破裂或损伤引起的。这种牵拉是由脱离的玻璃体施加的，血管被拉入其腔隙，而在与牵拉点相对应的视网膜区域没有同时出现裂孔。被撕脱的血管通常是颞上眼底象限的一条小静脉。该血管要么以小钩状突入玻璃体腔，要么其周边端在从视网膜脱离后在腔内自由漂浮。治疗方法包括单独进行激光凝固或联合使用硅巩膜外植体造成的压陷。玻璃体后脱离后无视网膜裂孔而导致视网膜血管被拉入玻璃体腔引起的复发性玻璃体出血，迄今为止尚未得到应有的关注。
