Keane J R
Arch Ophthalmol. 1981 Feb;99(2):262-3. doi: 10.1001/archopht.1981.03930010264008.
Fourteen patients with posterior pole retinal hemorrhages or prominent subhyaloid and vitreous bleeding were found during examination of 402 consecutive patients with papilledema (4%). Subhyaloid and vitreous hemorrhage generally result from forward dissection of severe peripapillary hemorrhage, whereas scattered posterior pole hemorrhages probably represent central retinal vein compromise from optic disc swelling. The bilaterality and severity of papilledema, as well as the clinical course, distinguish these patients from those with venous hemorrhages in association with subarachnoid bleeding or primary central retinal vein occlusion or inflammation.
在对402例连续的视盘水肿患者进行检查时，发现14例患者存在后极部视网膜出血或明显的玻璃膜下及玻璃体出血（4%）。玻璃膜下及玻璃体出血通常是由严重的视盘周围出血向前蔓延所致，而散在的后极部出血可能代表视盘肿胀导致的视网膜中央静脉受压。视盘水肿的双侧性和严重程度以及临床病程，将这些患者与伴有蛛网膜下腔出血、原发性视网膜中央静脉阻塞或炎症的静脉出血患者区分开来。
