Hayreh S S
Ophthalmology. 1983 May;90(5):458-74. doi: 10.1016/s0161-6420(83)34530-9.
Our prospective clinical study of 360 eyes with central retinal vein occlusion (CRVO) and our experimental studies on CRVO in 54 eyes of rhesus monkeys have shown that CRVO consists of the following two distinct entities: (1) Nonischemic CRVO in which there is essentially a stasis of retinal venous circulation; we call it venous stasis retinopathy (VSR). (2) Ischemic CRVO: We call this hemorrhagic retinopathy (HR). Our prospective clinical studies have revealed that it is absolutely essential to differentiate CRVO into VSR and HR because of their very different prognoses and management. VSR is a benign and self-limited condition, while HR is a severe, potentially blinding disorder. Lumping the two types of CRVO together as one disease has caused much confusion concerning the prognosis and management of CRVO. The basis of such a classification and differential diagnosis of VSR and HR is discussed at length.
我们对360例视网膜中央静脉阻塞（CRVO）患者进行的前瞻性临床研究以及对54只恒河猴眼睛进行的CRVO实验研究表明，CRVO由以下两种不同类型组成：（1）非缺血性CRVO，其本质上是视网膜静脉循环淤滞；我们将其称为静脉淤滞性视网膜病变（VSR）。（2）缺血性CRVO：我们将其称为出血性视网膜病变（HR）。我们的前瞻性临床研究表明，将CRVO区分为VSR和HR至关重要，因为它们的预后和治疗方法截然不同。VSR是一种良性且自限性的病症，而HR是一种严重的、可能导致失明的疾病。将这两种类型的CRVO归为一种疾病，在CRVO的预后和治疗方面造成了很大的混乱。本文详细讨论了这种VSR和HR分类及鉴别诊断的依据。
