Krakau C E
Department of Ophthalmology, Malmö General Hospital, Sweden.
Surv Ophthalmol. 1994 May;38 Suppl:S18-21; discussion S22. doi: 10.1016/0039-6257(94)90043-4.
There are several reasons to consider disk hemorrhages, branch retinal vein occlusions and central retinal vein occlusion as manifestations of the same vascular disease, the only difference among them being the size of the vessel affected. There is a close association of these vascular events with open angle glaucoma, and all of them increase with increasing follow-up time. The morphological changes described in the retinal veins in glaucoma and in central vein occlusions are endothelial proliferations causing progressive increase of flow resistance. Similar changes most probably also cause branch vein occlusions and disk hemorrhages. This vascular condition which obstructs the vessels with hindrance of the blood flow and impaired nutrition of neuronal tissue might be the primary cause of glaucoma.
有几个理由可将视盘出血、视网膜分支静脉阻塞和视网膜中央静脉阻塞视为同一血管疾病的表现，它们之间唯一的区别在于受影响血管的大小。这些血管事件与开角型青光眼密切相关，并且随着随访时间的增加，所有这些情况都会增多。青光眼和中央静脉阻塞时视网膜静脉中描述的形态学变化是内皮细胞增殖，导致血流阻力逐渐增加。类似的变化很可能也会导致分支静脉阻塞和视盘出血。这种阻碍血管血流并损害神经元组织营养的血管状况可能是青光眼的主要病因。
