Hart J C, Natsikos V E, Raistrick E R, Doran R M
Br J Ophthalmol. 1980 Jan;64(1):59-67. doi: 10.1136/bjo.64.1.59.
Retinal fluorescein angiographic and visual field studies were performed on 10 patients who had developed indireect choroidal tears, these procedures being repeated at intervals until the retinal disturbances stabilised. Fluorographic investigations revealed that a transient breakdown of the choroidoretinal barrier to fluorescein dye could be detected in cases investigated within 4 days of injury, and also that the late complication of neovascularisation, producing a serous maculopathy, may resolve and good central vision be retained without recourse to photocoagulation therapy. Patients who had visual field examinations performed within a few days of trauma were noted to have dense central scotomata, but some recovery occurred in most cases, although to a variable degree. Field defects away from fixation corresponded to an extent with areas of post-traumatic pigmentary retinopathy, but in some portions of retina with normal background appearances sensitivity was also noted to be reduced. Scotomata corresponding specifically to choroidal tears or nerve fibre bundle defects were not recorded. Improvement of visual acuity may be expected, except in cases where a choroidal tear has involved the fovea or progressive choroidal neovascularisation led to permanent macular damage.
对10例发生间接脉络膜裂伤的患者进行了视网膜荧光血管造影和视野检查，这些检查定期重复进行，直到视网膜病变稳定。荧光血管造影研究显示，在受伤后4天内进行检查的病例中，可以检测到脉络膜视网膜屏障对荧光素染料的短暂破坏，并且还显示，产生浆液性黄斑病变的新生血管形成这一晚期并发症可能会消退，且无需进行光凝治疗就能保留良好的中心视力。在创伤后几天内进行视野检查的患者被发现有浓密的中心暗点，但大多数情况下会有一定程度的恢复，尽管恢复程度各不相同。远离注视点的视野缺损在一定程度上与创伤后色素性视网膜病变区域相对应，但在视网膜背景外观正常的某些部分，也发现敏感度降低。未记录到与脉络膜裂伤或神经纤维束缺损具体对应的暗点。除了脉络膜裂伤累及黄斑或进行性脉络膜新生血管导致永久性黄斑损害的情况外，视力有望提高。
