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[糖尿病患者玻璃体内出血及视网膜静脉环]

[Hemorrhage in the vitreous and retinal venous loop in a diabetic subject].

作者信息

Mathis A, Camuzet F, Arne J L, Bec P

出版信息

J Fr Ophtalmol. 1984;7(3):201-3.

PMID:6747213
Abstract

A vitrectomy was performed in a diabetic patient because of unilateral vitreous hemorrhage, which persisted for six months. There was only background retinopathy in the other eye. In the operated eye, no proliferative retinopathy was found. During surgery a partial posterior vitreous detachment was noted with persistent vitreoretinal attachment to the superotemporal vascular arcade. Postoperative fundus examination and fluorescein angiography showed background retinopathy and the presence of a venous loop involving the superotemporal vein. Histologic description of venous loops with vitreoretinal adhesion was recently reported and it was suggested that this could lead to vitreous hemorrhage even in absence of severe proliferative retinopathy. To our knowledge, there is no previous report of diabetic vitreous hemorrhage probably due to a venous loop with vitreoretinal attachment.

摘要

一名糖尿病患者因单侧玻璃体出血持续六个月而接受了玻璃体切除术。另一只眼仅有背景性视网膜病变。在手术眼,未发现增殖性视网膜病变。手术过程中注意到部分玻璃体后脱离,颞上血管弓处存在持续性玻璃体视网膜附着。术后眼底检查和荧光素血管造影显示有背景性视网膜病变以及涉及颞上静脉的静脉环。最近有关于伴有玻璃体视网膜粘连的静脉环的组织学描述,提示即使在没有严重增殖性视网膜病变的情况下,这也可能导致玻璃体出血。据我们所知,此前尚无关于可能由伴有玻璃体视网膜附着的静脉环导致的糖尿病性玻璃体出血的报道。

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